36D1062311 CLIA NUMBER - KROGER PHARMACY #942

Laboratory Demographics

  • CLIA Code: 36D1062311
  • Facility Name: KROGER PHARMACY #942
  • Facility Address: 1375 CHAMBERS ROAD
    COLUMBUS, OH
    ZIP 43212
  • Facility Phone: 614 488-4062
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1093749897
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1062311
LAB Type Pharmacy
Facility Name KROGER PHARMACY #942
Street 1375 CHAMBERS ROAD
City COLUMBUS
State OH
ZIP 43212
Phone 614 488-4062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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This page was last updated on: 6/4/2025