36D2112415 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2112415
  • Facility Name: KROGER PHARMACY
  • Facility Address: 3675 E BROAD STREET
    WHITEHALL, OH
    ZIP 43213
  • Facility Phone: (614) 239-0404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1487679197
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2112415
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 3675 E BROAD STREET
City WHITEHALL
State OH
ZIP 43213
Phone 6142390404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2026
Certificate Expiration Date 4/27/2028
Facility Type Pharmacy
Lab Director JEFF STECKMAN

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