CLIA lab
CLIA 15D1077740: Kroger Pharmacy 138
Monticello, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1077740 belongs to Kroger Pharmacy 138 in Monticello, IN.
Certificate of Waiver, effective December 18, 2025, expires December 17, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 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
- 15D1077740
- Lab name
- Kroger Pharmacy 138
- Address
- 916 N Main, Monticello, IN 47960
- Phone
- (574) 583-4489
- Fax
- (574) 583-2537
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.
Other labs in Monticello, IN
- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D2009004
- Hook-Superx, LLC DBA Cvs/Pharmacy #06535Certificate of Waiver, Pharmacy15D2283120
- Iu Health White Memorial HospitalCertificate of Accreditation, Hospital15D0362525
- Iuhmg Primary CareCertificate of Waiver, Physician office15D0919924
- Iuhmg Walk inCertificate of Waiver, Physician office15D2333152
- Monticello HealthcareCertificate of Waiver, Skilled nursing or nursing facility15D0362521
- Polymer Science, IncCertificate of Waiver, Other15D2222480
- Proactive MD - MonticelloCertificate of Waiver, Physician office15D2182128
- Tribbett Family Medicine, LLCCertificate of Waiver, Physician office15D2116076
- Walmart Pharmacy #10-2771Certificate of Waiver, Pharmacy15D2146295
Related
Questions
What is the CLIA number for Kroger Pharmacy 138 in Monticello?
15D1077740, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 138 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1077740 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.