15D2122788 CLIA NUMBER - KROGER PHARMACY #735

Laboratory Demographics

  • CLIA Code: 15D2122788
  • Facility Name: KROGER PHARMACY #735
  • Facility Address: 5961 N SR 135
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 530-3087
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRADLEY CAMPBELL
  • NPI Number: 1356414874
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2122788
LAB Type Pharmacy
Facility Name KROGER PHARMACY #735
Street 5961 N SR 135
City GREENWOOD
State IN
ZIP 46143
Phone 317 530-3087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director BRADLEY CAMPBELL

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