36D2035569 CLIA NUMBER - KROGER PHARMACY 016-536

Laboratory Demographics

  • CLIA Code: 36D2035569
  • Facility Name: KROGER PHARMACY 016-536
  • Facility Address: 1700 CEDAR ST
    FREMONT, OH
    ZIP 43420
  • Facility Phone: 419 332-9187
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1104850825
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2035569
LAB Type Pharmacy
Facility Name KROGER PHARMACY 016-536
Street 1700 CEDAR ST
City FREMONT
State OH
ZIP 43420
Phone 419 332-9187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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