15D1077180 CLIA NUMBER - KROGER PHARMACY 86

Laboratory Demographics

  • CLIA Code: 15D1077180
  • Facility Name: KROGER PHARMACY 86
  • Facility Address: 2629 E 65TH ST
    INDIANAPOLIS, IN
    ZIP 46220
  • Facility Phone: 317 252-5333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER RIEGEL
  • NPI Number: 1992878417
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1077180
LAB Type Pharmacy
Facility Name KROGER PHARMACY 86
Street 2629 E 65TH ST
City INDIANAPOLIS
State IN
ZIP 46220
Phone 317 252-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director CHRISTOPHER RIEGEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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