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36D1092398 CLIA NUMBER - KROGER PHARMACY #815

Laboratory Demographics

CLIA Number: 36D1092398

Facility Name: KROGER PHARMACY #815

Facility Address:
3637 S HIGH ST
COLUMBUS, OH
ZIP 43207
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Facility Phone Number: 614 492-1081

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1104841816

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 36D1092398
LAB Type Pharmacy
Facility Name KROGER PHARMACY #815
Street 3637 S HIGH ST
City COLUMBUS
State OH
ZIP 43207
Phone 614 492-1081
CertificateType 4
CertificateEffectiveDate 11/24/2022
CertificateExpirationDate 11/23/2024
FacilityType Waiver

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