CLIA lab
CLIA 36D0965869: Kroger Pharmacy #16-328
Upper Arlington, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0965869 belongs to Kroger Pharmacy #16-328 in Upper Arlington, OH.
Certificate of Waiver, effective September 30, 2025, expires September 29, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 1999
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D0965869
- Lab name
- Kroger Pharmacy #16-328
- Address
- 1955 W Henderson Road, Upper Arlington, OH 43220
- Phone
- (614) 457-1939
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kroger Pharmacy #16-328 in Upper Arlington?
36D0965869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #16-328 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0965869 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.