36D2038836 CLIA NUMBER - KROGER PHARMACY #833

Laboratory Demographics

  • CLIA Code: 36D2038836
  • Facility Name: KROGER PHARMACY #833
  • Facility Address: 200 LEASE AVENUE
    GREENVILLE, OH
    ZIP 45331
  • Facility Phone: 937 548-1736
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1134153844
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2038836
LAB Type Pharmacy
Facility Name KROGER PHARMACY #833
Street 200 LEASE AVENUE
City GREENVILLE
State OH
ZIP 45331
Phone 937 548-1736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Pharmacy
Lab Director MICHELLE IZOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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