15D2143463 CLIA NUMBER - KROGER PHARMACY #21-330

Laboratory Demographics

  • CLIA Code: 15D2143463
  • Facility Name: KROGER PHARMACY #21-330
  • Facility Address: 1825 N KINSER PIKE
    BLOOMINGTON, IN
    ZIP 47404
  • Facility Phone: (812) 335-6770
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: HEIDI ROHE
  • NPI Number: 1942373568
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2143463
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #21-330
Street 1825 N KINSER PIKE
City BLOOMINGTON
State IN
ZIP 47404
Phone 8123356770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2026
Certificate Expiration Date 1/29/2028
Facility Type Other - PHARMACY
Lab Director HEIDI ROHE

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This page was last updated on: 5/18/2026