36D2113912 CLIA NUMBER - KROGER PHARMACY #938

Laboratory Demographics

  • CLIA Code: 36D2113912
  • Facility Name: KROGER PHARMACY #938
  • Facility Address: 3301 NAVARRE AVE
    OREGON, OH
    ZIP 43616
  • Facility Phone: 419 691-7034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1831123637
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2113912
LAB Type Pharmacy
Facility Name KROGER PHARMACY #938
Street 3301 NAVARRE AVE
City OREGON
State OH
ZIP 43616
Phone 419 691-7034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Pharmacy
Lab Director STEVE BURSON

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