CLIA lab
CLIA 15D1077191: Kroger Pharmacy J-985
Avon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1077191 belongs to Kroger Pharmacy J-985 in Avon, IN.
Certificate of Waiver, effective December 19, 2024, expires December 18, 2026.
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
- December 19, 2024
- Certificate expiration
- December 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 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
- 15D1077191
- Lab name
- Kroger Pharmacy J-985
- Address
- 108 N SR 267, Avon, IN 46123
- Phone
- (317) 272-4135
- Fax
- (317) 272-4137
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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- Ascension Medical Group ST Vincent -Certificate of Waiver, Physician office15D1001784
- Avon Employer Solutions Shared ClinicCertificate of Waiver, Physician office15D2348171
- Avon Family HealthCertificate of Waiver, Physician office15D1103176
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- Avon Marketplace ASC, LLC DBA West Indy SurgeryCertificate of Waiver, Ambulatory surgery center15D2316763
Related
Questions
What is the CLIA number for Kroger Pharmacy J-985 in Avon?
15D1077191, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J-985 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1077191 expire?
The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.