36D2112417 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2112417
  • Facility Name: KROGER PHARMACY
  • Facility Address: 1637 US RTE 36E UNIT 14
    URBANA, OH
    ZIP 43078
  • Facility Phone: 513 653-7668
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1215961016
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2112417
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 1637 US RTE 36E UNIT 14
City URBANA
State OH
ZIP 43078
Phone 513 653-7668
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 STEVE BURSON

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