CLIA lab
CLIA 15D1077921: Kroger Pharmacy 248
Brazil, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1077921 belongs to Kroger Pharmacy 248 in Brazil, IN.
Certificate of Waiver, effective December 21, 2025, expires December 20, 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
- December 21, 2025
- Certificate expiration
- December 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 15D1077921
- Lab name
- Kroger Pharmacy 248
- Address
- 100 Forest Park Plaza, Brazil, IN 47834
- Phone
- (812) 442-6700
- Fax
- (812) 442-6606
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 248 in Brazil?
15D1077921, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 248 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1077921 expire?
The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.