36D1062935 CLIA NUMBER - KROGER PHARMACY #839

Laboratory Demographics

  • CLIA Code: 36D1062935
  • Facility Name: KROGER PHARMACY #839
  • Facility Address: 1177 POLARIS PARKWAY
    COLUMBUS, OH
    ZIP 43240
  • Facility Phone: (614) 430-2445
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1649715491
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1062935
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #839
Street 1177 POLARIS PARKWAY
City COLUMBUS
State OH
ZIP 43240
Phone 6144302445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Other - PHARMACY
Lab Director JEFF STECKMAN

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This page was last updated on: 5/18/2026