36D2011465 CLIA NUMBER - KROGER PHARMACY #315

Laboratory Demographics

  • CLIA Code: 36D2011465
  • Facility Name: KROGER PHARMACY #315
  • Facility Address: 2000 EAST MAIN STREET
    COLUMBUS, OH
    ZIP 43205
  • Facility Phone: 614 252-1064
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1104850908
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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This page was last updated on: 6/4/2025