36D2041966 CLIA NUMBER - KROGER PHARMACY #901

Laboratory Demographics

  • CLIA Code: 36D2041966
  • Facility Name: KROGER PHARMACY #901
  • Facility Address: 919 EAST STATE STREET
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 566-4182
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1811086507
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2041966
LAB Type Pharmacy
Facility Name KROGER PHARMACY #901
Street 919 EAST STATE STREET
City ATHENS
State OH
ZIP 45701
Phone 740 566-4182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Pharmacy
Lab Director STEVE BURSON

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