36D1090091 CLIA NUMBER - KROGER PHARMACY 014-907

Laboratory Demographics

  • CLIA Code: 36D1090091
  • Facility Name: KROGER PHARMACY 014-907
  • Facility Address: 10477 HARRISON AVENUE
    HARRISON, OH
    ZIP 45030
  • Facility Phone: (513) 367-2382
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR

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CLIA Record

Field Name Field Value
CLIA Number 36D1090091
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-907
Street 10477 HARRISON AVENUE
City HARRISON
State OH
ZIP 45030
Phone 5133672382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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This page was last updated on: 5/15/2026