36D0965869 CLIA NUMBER - KROGER PHARMACY #16-328

Laboratory Demographics

  • CLIA Code: 36D0965869
  • Facility Name: KROGER PHARMACY #16-328
  • Facility Address: 1955 W HENDERSON ROAD
    UPPER ARLINGTON, OH
    ZIP 43220
  • Facility Phone: 614 457-1939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1396779195
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D0965869
LAB Type Pharmacy
Facility Name KROGER PHARMACY #16-328
Street 1955 W HENDERSON ROAD
City UPPER ARLINGTON
State OH
ZIP 43220
Phone 614 457-1939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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This page was last updated on: 9/29/2025