15D1076880 CLIA NUMBER - KROGER PHARMACY J945

Laboratory Demographics

  • CLIA Code: 15D1076880
  • Facility Name: KROGER PHARMACY J945
  • Facility Address: 10450 E WASHINGTON ST
    INDIANAPOLIS, IN
    ZIP 46229
  • Facility Phone: 317 895-2247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARBARA J. JUDGE
  • NPI Number: 1750454377
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1076880
LAB Type Pharmacy
Facility Name KROGER PHARMACY J945
Street 10450 E WASHINGTON ST
City INDIANAPOLIS
State IN
ZIP 46229
Phone 317 895-2247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Pharmacy
Lab Director BARBARA J. JUDGE

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