CLIA lab

CLIA 15D1076881: Kroger Pharmacy 857

New Haven, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D1076881 belongs to Kroger Pharmacy 857 in New Haven, IN.

Certificate of Waiver, effective November 27, 2025, expires November 26, 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
November 27, 2025
Certificate expiration
November 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 27, 2007
Facility type
Other
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
15D1076881
Lab name
Kroger Pharmacy 857
Address
821 Lincoln Highway West, New Haven, IN 46774
Phone
(260) 749-0215
Fax
(219) 749-1166

Annual test volume the lab reported

Waived tests
50

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 857 in New Haven?

15D1076881, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 857 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1076881 expire?

The CMS file lists November 26, 2027 as the certificate expiration date; the certificate took effect November 27, 2025.

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