36D1093168 CLIA NUMBER - KROGER PHARMACY 014-444

Laboratory Demographics

  • CLIA Code: 36D1093168
  • Facility Name: KROGER PHARMACY 014-444
  • Facility Address: 5910 HARRISON AVENUE
    CINCINNATI, OH
    ZIP 45248
  • Facility Phone: 513 574-5044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1184658981
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D1093168
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-444
Street 5910 HARRISON AVENUE
City CINCINNATI
State OH
ZIP 45248
Phone 513 574-5044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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