36D2059812 CLIA NUMBER - KROGER PHARMACY #800

Laboratory Demographics

  • CLIA Code: 36D2059812
  • Facility Name: KROGER PHARMACY #800
  • Facility Address: 555 MARION ROAD
    MOUNT GILEAD, OH
    ZIP 43338
  • Facility Phone: 419 947-9134
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1780618587
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2059812
LAB Type Pharmacy
Facility Name KROGER PHARMACY #800
Street 555 MARION ROAD
City MOUNT GILEAD
State OH
ZIP 43338
Phone 419 947-9134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2023
Certificate Expiration Date 5/30/2025
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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This page was last updated on: 3/20/2025