36D2037636 CLIA NUMBER - KROGER PHARMACY #506

Laboratory Demographics

  • CLIA Code: 36D2037636
  • Facility Name: KROGER PHARMACY #506
  • Facility Address: 210 E MARY STREET
    BUCYRUS, OH
    ZIP 44820
  • Facility Phone: 419 562-7654
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1013941731
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2037636
LAB Type Pharmacy
Facility Name KROGER PHARMACY #506
Street 210 E MARY STREET
City BUCYRUS
State OH
ZIP 44820
Phone 419 562-7654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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