36D1036923 CLIA NUMBER - KROGER PHARMACY 014-932

Laboratory Demographics

  • CLIA Code: 36D1036923
  • Facility Name: KROGER PHARMACY 014-932
  • Facility Address: 1508 COVINGTON AVENUE
    PIQUA, OH
    ZIP 45356
  • Facility Phone: 937 615-7020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1932133725
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1036923
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-932
Street 1508 COVINGTON AVENUE
City PIQUA
State OH
ZIP 45356
Phone 937 615-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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