36D2040914 CLIA NUMBER - KROGER PHARMACY 014-376

Laboratory Demographics

  • CLIA Code: 36D2040914
  • Facility Name: KROGER PHARMACY 014-376
  • Facility Address: 2900 W US 22 & 3
    MAINEVILLE, OH
    ZIP 45039
  • Facility Phone: 513 683-4224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1356366066
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2040914
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-376
Street 2900 W US 22 & 3
City MAINEVILLE
State OH
ZIP 45039
Phone 513 683-4224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
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