15D1077735 CLIA NUMBER - KROGER PHARMACY #66

Laboratory Demographics

  • CLIA Code: 15D1077735
  • Facility Name: KROGER PHARMACY #66
  • Facility Address: 5173 W WASHINGTON ST
    INDIANAPOLIS, IN
    ZIP 46241
  • Facility Phone: (317) 381-9659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER I. RIEGEL
  • NPI Number: 1174696694
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1077735
LAB Type Pharmacy
Facility Name KROGER PHARMACY #66
Street 5173 W WASHINGTON ST
City INDIANAPOLIS
State IN
ZIP 46241
Phone 3173819659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2025
Certificate Expiration Date 12/17/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER I. 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: 5/18/2026