CLIA lab
CLIA 15D1078659: Kroger Pharmacy #91
Bloomington, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1078659 belongs to Kroger Pharmacy #91 in Bloomington, IN.
Certificate of Waiver, effective January 14, 2026, expires January 13, 2028.
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
- January 14, 2026
- Certificate expiration
- January 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 2008
- 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
- 15D1078659
- Lab name
- Kroger Pharmacy #91
- Address
- 528 S College, Bloomington, IN 47403
- Phone
- (812) 336-5118
- Fax
- (812) 323-4303
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 #91 in Bloomington?
15D1078659, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #91 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1078659 expire?
The CMS file lists January 13, 2028 as the certificate expiration date; the certificate took effect January 14, 2026.