CLIA lab
CLIA 15D1077800: Kroger Pharmacy J-957
Noblesville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1077800 belongs to Kroger Pharmacy J-957 in Noblesville, 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
- 15D1077800
- Lab name
- Kroger Pharmacy J-957
- Address
- 172 W Logan St, Noblesville, IN 46060
- Phone
- (317) 776-3347
- Fax
- (317) 776-3348
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 Noblesville, IN
- Academy Allergy, Asthma & SinusCertificate of Waiver, Physician office15D1017819
- Advanced Gynecology & Pelvic Health SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office15D2302748
- Ameripath Indiana at Riverview HealthCertificate of Accreditation, Independent15D2279062
- Ameripath in/ in Surgery CTR NoblesvilleCertificate of Accreditation, Independent15D1005020
- Amg SV Nobelsville Primary CareCertificate of Waiver, Physician office15D2334961
- Ascension Medical Group ST Vincent - FishersCertificate of Waiver, Physician office15D1082566
- Cecil Health LLCCertificate of Waiver, Physician office15D2300964
- City of Noblesville Fire DeptCertificate of Waiver, Ambulance15D2075566
- Cleanslate CentersCertificate of Waiver, Physician office15D2174522
- Community Health Network Infusion CenterCertificate of Waiver, Other15D2272406
Related
Questions
What is the CLIA number for Kroger Pharmacy J-957 in Noblesville?
15D1077800, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy J-957 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1077800 expire?
The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.