36D1093078 CLIA NUMBER - KROGER PHARMACY #623

Laboratory Demographics

  • CLIA Code: 36D1093078
  • Facility Name: KROGER PHARMACY #623
  • Facility Address: 5800 WEST BROAD STREET
    GALLOWAY, OH
    ZIP 43119
  • Facility Phone: 614 870-4354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1033143755
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1093078
LAB Type Pharmacy
Facility Name KROGER PHARMACY #623
Street 5800 WEST BROAD STREET
City GALLOWAY
State OH
ZIP 43119
Phone 614 870-4354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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