36D2030241 CLIA NUMBER - KROGER PHARMACY #014445

Laboratory Demographics

  • CLIA Code: 36D2030241
  • Facility Name: KROGER PHARMACY #014445
  • Facility Address: 4001 SR 128
    CLEVES, OH
    ZIP 45002
  • Facility Phone: 513 353-0860
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1689608309
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2030241
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #014445
Street 4001 SR 128
City CLEVES
State OH
ZIP 45002
Phone 513 353-0860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Other - RETAIL PHARMACY
Lab Director MICHELLE IZOR

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