36D2060244 CLIA NUMBER - KROGER PHARMACY #920

Laboratory Demographics

  • CLIA Code: 36D2060244
  • Facility Name: KROGER PHARMACY #920
  • Facility Address: 55 WEST SCHROCK ROAD
    WESTERVILLE, OH
    ZIP 43081
  • Facility Phone: 614 890-8869
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1396779187
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2060244
LAB Type Pharmacy
Facility Name KROGER PHARMACY #920
Street 55 WEST SCHROCK ROAD
City WESTERVILLE
State OH
ZIP 43081
Phone 614 890-8869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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