15D1077246 CLIA NUMBER - KROGER PHARMACY 961

Laboratory Demographics

  • CLIA Code: 15D1077246
  • Facility Name: KROGER PHARMACY 961
  • Facility Address: 821 INDIANAPOLIS RD
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 653-1606
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JODY HINKLE
  • NPI Number: 1649343161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1077246
LAB Type Pharmacy
Facility Name KROGER PHARMACY 961
Street 821 INDIANAPOLIS RD
City GREENCASTLE
State IN
ZIP 46135
Phone 765 653-1606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director JODY HINKLE

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