CLIA lab
CLIA 15D1029973: Kroger Pharmacy 966
La Porte, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1029973 belongs to Kroger Pharmacy 966 in La Porte, IN.
Certificate of Waiver, effective August 27, 2026, expires August 26, 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
- August 27, 2026
- Certificate expiration
- August 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 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
- 15D1029973
- Lab name
- Kroger Pharmacy 966
- Address
- #55 Pine Lake Shps Cts, La Porte, IN 46350
- Phone
- (219) 325-3152
- Fax
- (219) 325-0443
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in La Porte, IN
- Aero Medical OfficeCertificate of Waiver, Physician office15D2114773
- Apac - Advanced Pain & AnesthesiaCertificate of Waiver, Physician office15D2275447
- Applegarth Dermatology PCCertificate for Provider-Performed Microscopy Procedures, Physician office15D0948584
- Beacon Med GRP Core LabCertificate of Accreditation, Physician office15D0355697
- Brentwood Assisted Living CommunityCertificate of Waiver, Other15D0959639
- Brickyard Healthcare - Laporte Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0355690
- Brickyard Healthcare - Terrace Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0669905
- Centers for Pain ControlCertificate of Waiver, Physician office15D2002088
- Fast Pace Medical Clinic PLLCCertificate of Waiver, Other practitioner15D2291604
- Franciscan Health Michigan City at LaporteCertificate of Accreditation, Hospital15D2179290
Related
Questions
What is the CLIA number for Kroger Pharmacy 966 in La Porte?
15D1029973, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 966 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1029973 expire?
The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.