36D2038203 CLIA NUMBER - KROGER PHARMACY #664

Laboratory Demographics

  • CLIA Code: 36D2038203
  • Facility Name: KROGER PHARMACY #664
  • Facility Address: 9101 OHIO RIVER ROAD
    WHEELERSBURG, OH
    ZIP 45694
  • Facility Phone: 740 574-6569
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1730113457
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2038203
LAB Type Pharmacy
Facility Name KROGER PHARMACY #664
Street 9101 OHIO RIVER ROAD
City WHEELERSBURG
State OH
ZIP 45694
Phone 740 574-6569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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