15D1063946 CLIA NUMBER - KROGER PHARMACY 970

Laboratory Demographics

  • CLIA Code: 15D1063946
  • Facility Name: KROGER PHARMACY 970
  • Facility Address: 150 W 161ST STREET
    WESTFIELD, IN
    ZIP 46074
  • Facility Phone: 317 867-4187
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA GESELLCHEN-WALKER
  • NPI Number: 1154480523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1063946
LAB Type Pharmacy
Facility Name KROGER PHARMACY 970
Street 150 W 161ST STREET
City WESTFIELD
State IN
ZIP 46074
Phone 317 867-4187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Pharmacy
Lab Director PAMELA GESELLCHEN-WALKER

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