CLIA lab
CLIA 36D1089935: Kroger Pharmacy #16591
Pataskala, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1089935 belongs to Kroger Pharmacy #16591 in Pataskala, OH.
Certificate of Waiver, effective September 30, 2026, expires September 29, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 30, 2026
- Certificate expiration
- September 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2008
- 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
- 36D1089935
- Lab name
- Kroger Pharmacy #16591
- Address
- 350 East Broad Street, Pataskala, OH 43062
- Phone
- (740) 964-5105
- Fax
- (740) 964-5107
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.
Other labs in Pataskala, OH
- Illuminate USACertificate of Waiver, Other36D2316332
- Kohls Health and Wellness CenterCertificate of Waiver, Physician office36D2180756
- Licking Memorial Family PracticeCertificate of Waiver, Physician office36D0987961
- Licking Memorial Health Center atCertificate of Waiver, Physician office36D2287028
- Licking Memorial Health SystemsCertificate for Provider-Performed Microscopy Procedures, Physician office36D2080678
- Licking Memorial Hospital Urgent CareCertificate of Waiver, Ancillary test site36D1095069
- Licking Memorial Pediatrics PataskalaCertificate of Waiver, Physician office36D0957202
- Licking Memorial Women's HealthCertificate of Waiver, Physician office36D1036913
- Little Clinic of Ohio LLC, theCertificate of Waiver, Other36D2059800
- Medcor Clinic at Jeld-Wen-PataskalaCertificate of Waiver, Industrial36D2343865
Related
Questions
What is the CLIA number for Kroger Pharmacy #16591 in Pataskala?
36D1089935, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #16591 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1089935 expire?
The CMS file lists September 29, 2028 as the certificate expiration date; the certificate took effect September 30, 2026.