36D2116612 CLIA NUMBER - KROGER PHARMACY #529

Laboratory Demographics

  • CLIA Code: 36D2116612
  • Facility Name: KROGER PHARMACY #529
  • Facility Address: 965 POPLAR ST
    NELSONVILLE, OH
    ZIP 45764
  • Facility Phone: 740 753-1984
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: JEFF STECKMAN
  • NPI Number: 1679507370
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2116612
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #529
Street 965 POPLAR ST
City NELSONVILLE
State OH
ZIP 45764
Phone 740 753-1984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Other - PHARMACY
Lab Director JEFF STECKMAN

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