36D2112423 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 36D2112423
  • Facility Name: KROGER PHARMACY
  • Facility Address: 6095 GENDER RD
    CANAL WINCHESTER, OH
    ZIP 43110
  • Facility Phone: 614 834-2805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1811921513
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2112423
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 6095 GENDER RD
City CANAL WINCHESTER
State OH
ZIP 43110
Phone 614 834-2805
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: 9/29/2025