36D2094991 CLIA NUMBER - KROGER PHARMACY #016312

Laboratory Demographics

  • CLIA Code: 36D2094991
  • Facility Name: KROGER PHARMACY #016312
  • Facility Address: 1165 WESTERN AVENUE
    CHILLICOTHE, OH
    ZIP 45601
  • Facility Phone: 740 772-4062
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1811912520
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2094991
LAB Type Pharmacy
Facility Name KROGER PHARMACY #016312
Street 1165 WESTERN AVENUE
City CHILLICOTHE
State OH
ZIP 45601
Phone 740 772-4062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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