36D2060475 CLIA NUMBER - KROGER PHARMACY 014-344

Laboratory Demographics

  • CLIA Code: 36D2060475
  • Facility Name: KROGER PHARMACY 014-344
  • Facility Address: 6725 DICK FLYNN BLVD PHARMACIST IN CHARGE
    GOSHEN, OH
    ZIP 45122
  • Facility Phone: (513) 722-7460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1558395277
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2060475
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-344
Street 6725 DICK FLYNN BLVD PHARMACIST IN CHARGE
City GOSHEN
State OH
ZIP 45122
Phone 5137227460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director MICHELLE IZOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026