CLIA lab

CLIA 15D1077246: Kroger Pharmacy 961

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

CLIA number 15D1077246 belongs to Kroger Pharmacy 961 in Greencastle, IN.

Certificate of Waiver, effective April 14, 2025, expires April 13, 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
April 14, 2025
Certificate expiration
April 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 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
15D1077246
Lab name
Kroger Pharmacy 961
Address
821 Indianapolis Rd, Greencastle, IN 46135
Phone
(765) 653-1606
Fax
(765) 653-1859

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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Related

Questions

What is the CLIA number for Kroger Pharmacy 961 in Greencastle?

15D1077246, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 961 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1077246 expire?

The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.

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