36D2011465 CLIA NUMBER - KROGER PHARMACY #315

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Laboratory Demographics

CLIA Number: 36D2011465

Facility Name: KROGER PHARMACY #315

Facility Address:
2000 EAST MAIN STREET
COLUMBUS, OH
ZIP 43205
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Facility Phone Number: 614 252-1064

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104850908

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	36D2011465
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #315
Street	2000 EAST MAIN STREET
City	COLUMBUS
State	OH
ZIP	43205
Phone	614 252-1064
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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