36D2047708 CLIA NUMBER - KROGER PHARMACY 014-943

Laboratory Demographics

  • CLIA Code: 36D2047708
  • Facility Name: KROGER PHARMACY 014-943
  • Facility Address: 1212 W KEMPER RD
    CINCINNATI, OH
    ZIP 45240
  • Facility Phone: 513 742-2000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1962436766
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2047708
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-943
Street 1212 W KEMPER RD
City CINCINNATI
State OH
ZIP 45240
Phone 513 742-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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