CLIA lab
CLIA 15D0974279: Kroger Pharmacy #938
Mishawaka, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0974279 belongs to Kroger Pharmacy #938 in Mishawaka, IN.
Certificate of Waiver, effective January 26, 2026, expires January 25, 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 26, 2026
- Certificate expiration
- January 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 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
- 15D0974279
- Lab name
- Kroger Pharmacy #938
- Address
- 906 S Merrifield Ave, Mishawaka, IN 46544
- Phone
- (219) 256-7522
- Fax
- (219) 256-7524
Annual test volume the lab reported
- Waived tests
- 1,800
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 #938 in Mishawaka?
15D0974279, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #938 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0974279 expire?
The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.