CLIA lab
CLIA 15D2067572: Kroger Pharmacy #57
Charlestown, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2067572 belongs to Kroger Pharmacy #57 in Charlestown, IN.
Certificate of Waiver, effective October 18, 2025, expires October 17, 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
- October 18, 2025
- Certificate expiration
- October 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2013
- Facility type
- Other
- 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
- 15D2067572
- Lab name
- Kroger Pharmacy #57
- Address
- 9501 State Road 403, Charlestown, IN 47111
- Phone
- (812) 256-2943
- Fax
- (812) 256-2997
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.
Other labs in Charlestown, IN
- American Health Network of Indiana, LLCCertificate of Waiver, Physician office15D1086804
- BhmgCertificate of Waiver, Physician office15D1062085
- Charlestown Community MedicalCertificate of Waiver, Federally qualified health center15D2314043
- Hoke Medical LLCCertificate of Waiver, Physician office15D2180933
- Joseph H Beaven MD LLCCertificate for Provider-Performed Microscopy Procedures, Physician office15D0671957
- Little Clinic of in, LLC, theCertificate of Waiver, Other15D2123715
- North Clark Medical Group, LLCCertificate of Waiver, Physician office15D2107916
- Norton Community Medical Associates - CharlestownCertificate of Waiver, Physician office15D1020413
- River Crossing Ind & Ast Living ComCertificate of Waiver, Assisted living facility15D1096279
- Southern Indiana Comprehensive Treatment CenterCertificate of Waiver, Comprehensive outpatient rehab facility15D1045766
Related
Questions
What is the CLIA number for Kroger Pharmacy #57 in Charlestown?
15D2067572, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #57 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2067572 expire?
The CMS file lists October 17, 2027 as the certificate expiration date; the certificate took effect October 18, 2025.