15D2048330 CLIA NUMBER - KROGER PHARMACY #014-406

Laboratory Demographics

  • CLIA Code: 15D2048330
  • Facility Name: KROGER PHARMACY #014-406
  • Facility Address: 1034 STATE ROAD 229 NORTH
    BATESVILLE, IN
    ZIP 47006
  • Facility Phone: 812 537-7360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1689608499
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2048330
LAB Type Pharmacy
Facility Name KROGER PHARMACY #014-406
Street 1034 STATE ROAD 229 NORTH
City BATESVILLE
State IN
ZIP 47006
Phone 812 537-7360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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