36D2112412 CLIA NUMBER - KROGER PHARMACY #264

Laboratory Demographics

  • CLIA Code: 36D2112412
  • Facility Name: KROGER PHARMACY #264
  • Facility Address: 1621 N MEMORIAL DRIVE
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 654-2044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF C. STECKMAN
  • NPI Number: 1023042819
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2112412
LAB Type Pharmacy
Facility Name KROGER PHARMACY #264
Street 1621 N MEMORIAL DRIVE
City LANCASTER
State OH
ZIP 43130
Phone 740 654-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director JEFF C. STECKMAN

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