36D2031594 CLIA NUMBER - KROGER PHARMACY #014433

Laboratory Demographics

  • CLIA Code: 36D2031594
  • Facility Name: KROGER PHARMACY #014433
  • Facility Address: 10595 SPRINGFIELD PIKE
    CINCINNATI, OH
    ZIP 45215
  • Facility Phone: (513) 771-2970
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1316971021
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2031594
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #014433
Street 10595 SPRINGFIELD PIKE
City CINCINNATI
State OH
ZIP 45215
Phone 5137712970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2025
Certificate Expiration Date 10/23/2027
Facility Type Other - RETAIL PHARMACY
Lab Director MICHELLE IZOR

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This page was last updated on: 5/18/2026