36D2021121 CLIA NUMBER - KROGER PHARMACY #522

Laboratory Demographics

  • CLIA Code: 36D2021121
  • Facility Name: KROGER PHARMACY #522
  • Facility Address: 300 SOUTH HAMILTON ROAD
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 416-6420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1306861018
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2021121
LAB Type Pharmacy
Facility Name KROGER PHARMACY #522
Street 300 SOUTH HAMILTON ROAD
City GAHANNA
State OH
ZIP 43230
Phone 614 416-6420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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