CLIA lab
CLIA 15D0974066: Kroger Pharmacy J902
Peru, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0974066 belongs to Kroger Pharmacy J902 in Peru, IN.
Certificate of Waiver, effective July 20, 2025, expires July 19, 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
- July 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 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
- 15D0974066
- Lab name
- Kroger Pharmacy J902
- Address
- 930 W Main St, Peru, IN 46970
- Phone
- (765) 473-2076
- Fax
- (765) 473-2077
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aperion Estates Peru, LLCCertificate of Waiver, Assisted living facility15D2195289
- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D2023837
- DBA Hickory Creek at Peru Henry Co MemorialCertificate of Waiver, Skilled nursing or nursing facility15D0665447
- Dukes Health System, LLC / DBA Dukes Mem HospCertificate of Accreditation, Hospital15D0358939
- Dukes Medical Group - ImCertificate of Waiver, Physician office15D2090547
- Fresenius Medical Care PeruCertificate of Waiver, End stage renal disease dialysis facility15D1095710
- Grove Estate Addiction Treatment, theCertificate of Waiver, Other15D2295770
Related
Questions
What is the CLIA number for Kroger Pharmacy J902 in Peru?
15D0974066, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J902 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0974066 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.