36D2029158 CLIA NUMBER - KROGER PHARMACY #587

Laboratory Demographics

  • CLIA Code: 36D2029158
  • Facility Name: KROGER PHARMACY #587
  • Facility Address: 1350 NORTH HIGH STREET
    COLUMBUS, OH
    ZIP 43201
  • Facility Phone: 614 294-1696
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1528092327
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2029158
LAB Type Pharmacy
Facility Name KROGER PHARMACY #587
Street 1350 NORTH HIGH STREET
City COLUMBUS
State OH
ZIP 43201
Phone 614 294-1696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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