CLIA lab
CLIA 15D0972400: Kroger Pharmacy J-096
Rushville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0972400 belongs to Kroger Pharmacy J-096 in Rushville, IN.
Certificate of Waiver, effective April 5, 2026, expires April 4, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 5, 2026
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 5, 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
- 15D0972400
- Lab name
- Kroger Pharmacy J-096
- Address
- 202 S Main St, Rushville, IN 46173
- Phone
- (765) 938-3155
- Fax
- (765) 938-2182
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rushville, IN
- Fenimore Eye CareCertificate of Waiver, Physician office15D2278610
- Meridian Health Services CorpCertificate of Waiver, Federally qualified health center15D0665631
- Midwest Eye Consultants #47Certificate of Waiver, Physician office15D2263314
- Qcc/Rush County JailCertificate of Waiver, Other15D2203390
- RMH Healthcare SolutionsCertificate of Waiver, Community clinic15D2299551
- Rush County Health DepartmentCertificate of Waiver, Other15D0687311
- Rush Mem Hospital DBA Flatrock River LodgeCertificate of Waiver, Skilled nursing or nursing facility15D0931021
- Rush Memorial HospitalCertificate of Accreditation, Hospital15D0034427
- Rushville Chiropractic & Sports Med ClinicCertificate of Waiver, Physician office15D2083285
- Waters of Rushville Skilled Nursing Facility, theCertificate of Waiver, Skilled nursing or nursing facility15D0670897
Related
Questions
What is the CLIA number for Kroger Pharmacy J-096 in Rushville?
15D0972400, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J-096 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0972400 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 5, 2026.