36D1092396 CLIA NUMBER - KROGER PHARMACY #512

Laboratory Demographics

  • CLIA Code: 36D1092396
  • Facility Name: KROGER PHARMACY #512
  • Facility Address: 264 SOUTH HOLLYWOOD BOULEVARD
    STEUBENVILLE, OH
    ZIP 43952
  • Facility Phone: 740 266-2893
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1366476061
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1092396
LAB Type Pharmacy
Facility Name KROGER PHARMACY #512
Street 264 SOUTH HOLLYWOOD BOULEVARD
City STEUBENVILLE
State OH
ZIP 43952
Phone 740 266-2893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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