CLIA lab
CLIA 15D0970449: Kroger Pharmacy J921
Mooresville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0970449 belongs to Kroger Pharmacy J921 in Mooresville, IN.
Certificate of Waiver, effective February 15, 2026, expires February 14, 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
- February 15, 2026
- Certificate expiration
- February 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 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
- 15D0970449
- Lab name
- Kroger Pharmacy J921
- Address
- 530 S Indiana St, Mooresville, IN 46158
- Phone
- (317) 831-9416
Annual test volume the lab reported
- Waived tests
- 60
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 J921 in Mooresville?
15D0970449, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J921 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0970449 expire?
The CMS file lists February 14, 2028 as the certificate expiration date; the certificate took effect February 15, 2026.