36D2038159 CLIA NUMBER - KROGER PHARMACY #549

Laboratory Demographics

  • CLIA Code: 36D2038159
  • Facility Name: KROGER PHARMACY #549
  • Facility Address: 1501 WEST 5TH STREET
    MARYSVILLE, OH
    ZIP 43040
  • Facility Phone: 937 644-3332
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1124052832
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2038159
LAB Type Pharmacy
Facility Name KROGER PHARMACY #549
Street 1501 WEST 5TH STREET
City MARYSVILLE
State OH
ZIP 43040
Phone 937 644-3332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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