15D2001078 CLIA NUMBER - KROGER PHARMACY # 024-776

Laboratory Demographics

  • CLIA Code: 15D2001078
  • Facility Name: KROGER PHARMACY # 024-776
  • Facility Address: 1027 JEFFERSONVILLE COMMONS BLVD
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: (812) 288-9245
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHELI ROBERTS

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CLIA Record

Field Name Field Value
CLIA Number 15D2001078
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 024-776
Street 1027 JEFFERSONVILLE COMMONS BLVD
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 8122889245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2025
Certificate Expiration Date 12/10/2027
Facility Type Pharmacy
Lab Director PHELI ROBERTS

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This page was last updated on: 5/15/2026