15D1056314 CLIA NUMBER - KROGER PHARMACY 980

Laboratory Demographics

  • CLIA Code: 15D1056314
  • Facility Name: KROGER PHARMACY 980
  • Facility Address: 14800 HAZELDELL CR
    NOBLESVILLE, IN
    ZIP 46062
  • Facility Phone: 317 844-1185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER NORTH
  • NPI Number: 1760410328
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1056314
LAB Type Pharmacy
Facility Name KROGER PHARMACY 980
Street 14800 HAZELDELL CR
City NOBLESVILLE
State IN
ZIP 46062
Phone 317 844-1185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Pharmacy
Lab Director JENNIFER NORTH

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This page was last updated on: 9/29/2025