CLIA lab

CLIA 15D0969770: Kroger Pharmacy #021-215

Brownsburg, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D0969770 belongs to Kroger Pharmacy #021-215 in Brownsburg, IN.

Certificate of Waiver, effective January 25, 2026, expires January 24, 2028.

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
January 25, 2026
Certificate expiration
January 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 2000
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
15D0969770
Lab name
Kroger Pharmacy #021-215
Address
975 N Green Street, Brownsburg, IN 46112
Phone
(317) 852-3340
Fax
(317) 852-1200

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Kroger Pharmacy #021-215 in Brownsburg?

15D0969770, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #021-215 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0969770 expire?

The CMS file lists January 24, 2028 as the certificate expiration date; the certificate took effect January 25, 2026.

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