CLIA lab
CLIA 15D1077788: Kroger Pharmacy J900
Bloomington, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1077788 belongs to Kroger Pharmacy J900 in Bloomington, IN.
Certificate of Waiver, effective December 19, 2025, expires December 18, 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 19, 2025
- Certificate expiration
- December 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 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
- 15D1077788
- Lab name
- Kroger Pharmacy J900
- Address
- 4025 S Old SR 37, Bloomington, IN 47401
- Phone
- (812) 824-5205
- Fax
- (812) 824-5207
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 Bloomington, IN
- Amedisys Sp-In, LLC D/B/A Amedisys Home HealthCertificate of Waiver, Home health agency15D1052834
- Aperion Care MonroeCertificate of Waiver, Skilled nursing or nursing facility15D0360588
- Associates in Dermatology, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office15D2343412
- Biolife Plasma Services LPCertificate of Compliance, Other15D0689986
- Bloomington Advanced Surgery CenterCertificate of Waiver, Ambulatory surgery center15D2234916
- Bloomington Com Based Outpt CenterCertificate of Waiver, Community clinic15D1020721
- Bloomington Endoscopy CenterCertificate of Waiver, Ambulatory surgery center15D0982598
- Bloomington Meadows HospitalCertificate of Waiver, Hospital15D0865344
- Bloomington Regional Rehabilitation HospitalCertificate of Waiver, Hospital15D2235307
- Bloomington Surgery CenterCertificate of Waiver, Ambulatory surgery center15D0714939
Related
Questions
What is the CLIA number for Kroger Pharmacy J900 in Bloomington?
15D1077788, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J900 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1077788 expire?
The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.