36D2060011 CLIA NUMBER - KROGER PHARMACY #569

Laboratory Demographics

  • CLIA Code: 36D2060011
  • Facility Name: KROGER PHARMACY #569
  • Facility Address: 150 W SYCAMORE ST
    COLUMBUS, OH
    ZIP 43215
  • Facility Phone: 614 340-7980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1629002340
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2060011
LAB Type Pharmacy
Facility Name KROGER PHARMACY #569
Street 150 W SYCAMORE ST
City COLUMBUS
State OH
ZIP 43215
Phone 614 340-7980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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