CLIA lab
CLIA 15D2001076: Kroger Pharmacy #741
Madison, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2001076 belongs to Kroger Pharmacy #741 in Madison, IN.
Certificate of Waiver, effective December 11, 2025, expires December 10, 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 11, 2025
- Certificate expiration
- December 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2009
- 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
- 15D2001076
- Lab name
- Kroger Pharmacy #741
- Address
- 525 E Clifty Dr, Madison, IN 47250
- Phone
- (812) 273-3343
- Fax
- (502) 241-5909
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Britt Family MedicineCertificate of Waiver, Physician office15D1094500
- Commonwealth Pain Associates, PLLCCertificate of Waiver, Physician office15D2327748
- DBA Hickory Creek at Madison Henry Co Mem HospitalCertificate of Waiver, Skilled nursing or nursing facility15D0668790
- Eye Assoicates of S Ind PCCertificate of Waiver, Physician office15D2122070
- Jefferson Co Health DepartmentCertificate of Waiver, Rural health clinic15D0672448
- Jewel PlaceCertificate of Waiver, Skilled nursing or nursing facility15D1032624
- Life Choices ClinicCertificate of Waiver, Community clinic15D2119087
- Lifespring Jefferson County OfficeCertificate of Waiver, Community clinic15D2174485
- Madison Correctional Facility(Women)Certificate of Waiver, Prison15D0895857
Related
Questions
What is the CLIA number for Kroger Pharmacy #741 in Madison?
15D2001076, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #741 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2001076 expire?
The CMS file lists December 10, 2027 as the certificate expiration date; the certificate took effect December 11, 2025.