CLIA lab
CLIA 15D1021822: Kroger Pharmacy 907
Martinsville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1021822 belongs to Kroger Pharmacy 907 in Martinsville, IN.
Certificate of Waiver, effective February 2, 2026, expires February 1, 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 2, 2026
- Certificate expiration
- February 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2004
- 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
- 15D1021822
- Lab name
- Kroger Pharmacy 907
- Address
- 1600 S Ohio St, Martinsville, IN 46151
- Phone
- (765) 342-6213
- Fax
- (765) 342-6851
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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- Grand Valley GardensCertificate of Waiver, Assisted living facility15D2197381
- Grand Valley Health & Rehab FacilityCertificate of Waiver, Skilled nursing or nursing facility15D0715459
- Groups Recover TogetherCertificate of Waiver, Community clinic15D2263752
- Hook- Superx LLC DBA Cvs/Pharmacy #06703Certificate of Waiver, Pharmacy15D2284059
- Iuhmg Primary CareCertificate of Waiver, Physician office15D1034094
- Iuhmg Primary CareCertificate of Waiver, Physician office15D2073069
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Related
Questions
What is the CLIA number for Kroger Pharmacy 907 in Martinsville?
15D1021822, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 907 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1021822 expire?
The CMS file lists February 1, 2028 as the certificate expiration date; the certificate took effect February 2, 2026.