15D2149146 CLIA NUMBER - KROGER PHARMACY #332

Laboratory Demographics

  • CLIA Code: 15D2149146
  • Facility Name: KROGER PHARMACY #332
  • Facility Address: 10679 N MICHIGAN ROAD
    ZIONSVILLE, IN
    ZIP 46077
  • Facility Phone: 317 733-2566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS R. MADISON
  • NPI Number: 1740780550
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2149146
LAB Type Pharmacy
Facility Name KROGER PHARMACY #332
Street 10679 N MICHIGAN ROAD
City ZIONSVILLE
State IN
ZIP 46077
Phone 317 733-2566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Pharmacy
Lab Director NICHOLAS R. MADISON

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