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36D1075828 CLIA NUMBER - KROGER PHARMACY #593

Laboratory Demographics

CLIA Number: 36D1075828

Facility Name: KROGER PHARMACY #593

Facility Address:
1745 MORSE ROAD
COLUMBUS, OH
ZIP 43229
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Facility Phone Number: 614 438-5751

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1023042827

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 36D1075828
LAB Type Pharmacy
Facility Name KROGER PHARMACY #593
Street 1745 MORSE ROAD
City COLUMBUS
State OH
ZIP 43229
Phone 614 438-5751
CertificateType 4
CertificateEffectiveDate 11/27/2023
CertificateExpirationDate 11/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024