CLIA lab
CLIA 15D1076909: Kroger Pharmacy 875
Wabash, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1076909 belongs to Kroger Pharmacy 875 in Wabash, IN.
Certificate of Waiver, effective November 28, 2025, expires November 27, 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 28, 2025
- Certificate expiration
- November 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2007
- 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
- 15D1076909
- Lab name
- Kroger Pharmacy 875
- Address
- 1309 N Cass St, Wabash, IN 46992
- Phone
- (260) 563-1612
- Fax
- (260) 563-6053
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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- 1019 Belle's Place of WabashCertificate of Waiver, Assisted living facility15D1053285
- American Health Network of Indiana, LLCCertificate of Waiver, Physician office15D0968350
- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D2053904
- Bowen Health Clinic - WabashCertificate of Waiver, Federally qualified health center15D2297065
- Ford Meter BoxCertificate of Waiver, Physician office15D2276917
- Groups Recover TogetherCertificate of Waiver, Community clinic15D2226680
- Health and Hospital Corp of Marion County theCertificate of Waiver, Skilled nursing or nursing facility15D0359021
- Life Is for Everyone IncCertificate of Waiver, Other15D2125177
- Midwest Eye Consultants #1Certificate of Waiver, Physician office15D2147537
- PPG Obgyn WabashCertificate of Waiver, Physician office15D2151689
Related
Questions
What is the CLIA number for Kroger Pharmacy 875 in Wabash?
15D1076909, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 875 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1076909 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.