CLIA lab
CLIA 15D0926172: Kroger Pharmacy J 940
Lebanon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0926172 belongs to Kroger Pharmacy J 940 in Lebanon, IN.
Certificate of Waiver, effective March 17, 2025, expires March 16, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 17, 2025
- Certificate expiration
- March 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 1997
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D0926172
- Lab name
- Kroger Pharmacy J 940
- Address
- 2420 N Lebanon St, Lebanon, IN 46052
- Phone
- (765) 482-7095
- Fax
- (765) 482-7480
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lebanon, IN
- Allied Occupational MedicineCertificate of Waiver, Physician office15D2335290
- Ameripath Indiana / Witham Health ServicesCertificate of Accreditation, Independent15D2226452
- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D0981342
- Boone Co Health DeptCertificate of Waiver, Other15D0677340
- Boone County JailCertificate of Waiver, Other15D2276959
- Careonsite Project DominoCertificate of Waiver, Other15D2331954
- Caterpillar Logistics Inc - Lebanon, inCertificate of Waiver, Other15D2338038
- Crownpointe Comm LLC DBA Crownpointe of LebnCertificate of Waiver, Assisted living facility15D2111797
- D/B/A Signature Healthcare at ParkwoodCertificate of Waiver, Skilled nursing or nursing facility15D0667334
- Integrative Wellness, LLCCertificate of Waiver, Physician office15D2281929
Related
Questions
What is the CLIA number for Kroger Pharmacy J 940 in Lebanon?
15D0926172, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J 940 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0926172 expire?
The CMS file lists March 16, 2027 as the certificate expiration date; the certificate took effect March 17, 2025.