36D2020545 CLIA NUMBER - KROGER PHARMACY #861

Laboratory Demographics

  • CLIA Code: 36D2020545
  • Facility Name: KROGER PHARMACY #861
  • Facility Address: 6011 GROVEPORT RD
    GROVEPORT, OH
    ZIP 43125
  • Facility Phone: 614 830-2015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1942234661
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2020545
LAB Type Pharmacy
Facility Name KROGER PHARMACY #861
Street 6011 GROVEPORT RD
City GROVEPORT
State OH
ZIP 43125
Phone 614 830-2015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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