CLIA lab
CLIA 36D1092124: Kroger Pharmacy #363
Waverly, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1092124 belongs to Kroger Pharmacy #363 in Waverly, OH.
Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.
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
- November 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 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
- 36D1092124
- Lab name
- Kroger Pharmacy #363
- Address
- 220 Waverly Plaza, Waverly, OH 45690
- Phone
- (740) 947-0128
- Fax
- (740) 941-0792
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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- Adena Pike Medical CenterCertificate of Accreditation, Hospital36D0351011
- Adena Urology WaverlyCertificate of Waiver, Physician office36D2044899
- Adena Women's Health-PikeCertificate of Waiver, Physician office36D2286786
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2290398
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Related
Questions
What is the CLIA number for Kroger Pharmacy #363 in Waverly?
36D1092124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #363 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1092124 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.