CLIA lab
CLIA 15D2101035: Kroger Pharmacy #418
Kendallville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2101035 belongs to Kroger Pharmacy #418 in Kendallville, IN.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 2015
- 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
- 15D2101035
- Lab name
- Kroger Pharmacy #418
- Address
- 310 W North St, Kendallville, IN 46755
- Phone
- (260) 347-9177
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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- Indiana Direct Primary CareCertificate of Waiver, Physician office15D2244535
- Kendallville Manor Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility15D0669575
- Kendallville Renal CenterCertificate of Waiver, End stage renal disease dialysis facility15D1077858
- Lutheran Life Villages, the Villages atCertificate of Waiver, Skilled nursing or nursing facility15D0876323
- Northeast Internal Medicine AssociatesCertificate of Waiver, Physician office15D1026317
- Orchard Pointe Health CampusCertificate of Waiver, Skilled nursing or nursing facility15D2115600
- PFC - Noble CampusCertificate of Waiver, Physician office15D2017291
- PPG Obgyn KendallvilleCertificate for Provider-Performed Microscopy Procedures, Physician office15D1045399
- Park Center, Inc KendallvilleCertificate of Waiver, Other15D2342222
Related
Questions
What is the CLIA number for Kroger Pharmacy #418 in Kendallville?
15D2101035, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #418 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2101035 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.