36D2124032 CLIA NUMBER - KROGER PHARMACY 014-929

Laboratory Demographics

  • CLIA Code: 36D2124032
  • Facility Name: KROGER PHARMACY 014-929
  • Facility Address: 1 WEST CORRY ST
    CINCINNATI, OH
    ZIP 45219
  • Facility Phone: 513 872-1520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE IZOR
  • NPI Number: 1639103336
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2124032
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014-929
Street 1 WEST CORRY ST
City CINCINNATI
State OH
ZIP 45219
Phone 513 872-1520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Pharmacy
Lab Director MICHELLE IZOR

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