36D2095042 CLIA NUMBER - KROGER PHARMACY #831

Laboratory Demographics

  • CLIA Code: 36D2095042
  • Facility Name: KROGER PHARMACY #831
  • Facility Address: 19471 LAKE DR
    TRIMBLE, OH
    ZIP 45782
  • Facility Phone: 740 767-3851
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1730268228
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2095042
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #831
Street 19471 LAKE DR
City TRIMBLE
State OH
ZIP 45782
Phone 740 767-3851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Other - PHARMACY
Lab Director JEFF STECKMAN

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