15D1078006 CLIA NUMBER - KROGER PHARMACY 947

Laboratory Demographics

  • CLIA Code: 15D1078006
  • Facility Name: KROGER PHARMACY 947
  • Facility Address: 785 E MAIN ST
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 745-8027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH ADAIR
  • NPI Number: 1932272457
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1078006
LAB Type Pharmacy
Facility Name KROGER PHARMACY 947
Street 785 E MAIN ST
City DANVILLE
State IN
ZIP 46122
Phone 317 745-8027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Pharmacy
Lab Director ELIZABETH ADAIR

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