15D1078659 CLIA NUMBER - KROGER PHARMACY #91

Laboratory Demographics

  • CLIA Code: 15D1078659
  • Facility Name: KROGER PHARMACY #91
  • Facility Address: 528 S COLLEGE
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 812 336-5118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF SCHWARTZ
  • NPI Number: 1942373568
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1078659
LAB Type Pharmacy
Facility Name KROGER PHARMACY #91
Street 528 S COLLEGE
City BLOOMINGTON
State IN
ZIP 47403
Phone 812 336-5118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Pharmacy
Lab Director JEFF SCHWARTZ

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