36D2037522 CLIA NUMBER - KROGER PHARMACY 016575

Laboratory Demographics

  • CLIA Code: 36D2037522
  • Facility Name: KROGER PHARMACY 016575
  • Facility Address: 811 GAY STREET
    PORTSMOUTH, OH
    ZIP 45662
  • Facility Phone: 740 354-2262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1306870019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2037522
LAB Type Pharmacy
Facility Name KROGER PHARMACY 016575
Street 811 GAY STREET
City PORTSMOUTH
State OH
ZIP 45662
Phone 740 354-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Pharmacy
Lab Director STEVE BURSON

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