36D2112422 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2112422
  • Facility Name: KROGER PHARMACY
  • Facility Address: 910 HEBRON ROAD
    HEATH, OH
    ZIP 43056
  • Facility Phone: 740 522-3693
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1730113531
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2112422
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 910 HEBRON ROAD
City HEATH
State OH
ZIP 43056
Phone 740 522-3693
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

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: 6/4/2025