36D2000518 CLIA NUMBER - KROGER PHARMACY #805

Laboratory Demographics

  • CLIA Code: 36D2000518
  • Facility Name: KROGER PHARMACY #805
  • Facility Address: 6417 COLUMBUS PIKE ATTN PHARMACIST IN CHARGE
    LEWIS CENTER, OH
    ZIP 43035
  • Facility Phone: 740 888-1290
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1821324203
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2000518
LAB Type Pharmacy
Facility Name KROGER PHARMACY #805
Street 6417 COLUMBUS PIKE ATTN PHARMACIST IN CHARGE
City LEWIS CENTER
State OH
ZIP 43035
Phone 740 888-1290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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