36D2037833 CLIA NUMBER - KROGER PHARMACY #542

Laboratory Demographics

  • CLIA Code: 36D2037833
  • Facility Name: KROGER PHARMACY #542
  • Facility Address: 31550 CHIEFTAN DRIVE
    LOGAN, OH
    ZIP 43138
  • Facility Phone: 740 380-2041
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1902830607
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2037833
LAB Type Pharmacy
Facility Name KROGER PHARMACY #542
Street 31550 CHIEFTAN DRIVE
City LOGAN
State OH
ZIP 43138
Phone 740 380-2041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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