36D2044840 CLIA NUMBER - KROGER PHARMACY #016-232

Laboratory Demographics

  • CLIA Code: 36D2044840
  • Facility Name: KROGER PHARMACY #016-232
  • Facility Address: 6580 EAST MAIN STREET
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 759-4184
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1306861026
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2044840
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #016-232
Street 6580 EAST MAIN STREET
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 759-4184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Other - PHARMACY
Lab Director JEFF STECKMAN

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This page was last updated on: 6/4/2025