36D2030437 CLIA NUMBER - KROGER PHARMACY 014-951

Laboratory Demographics

  • CLIA Code: 36D2030437
  • Facility Name: KROGER PHARMACY 014-951
  • Facility Address: 2921 WEST ALEX-BELL ROAD
    DAYTON, OH
    ZIP 45459
  • Facility Phone: 937 294-7210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1689699399
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2030437
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-951
Street 2921 WEST ALEX-BELL ROAD
City DAYTON
State OH
ZIP 45459
Phone 937 294-7210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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