CLIA lab
CLIA 36D1093078: Kroger Pharmacy #623
Galloway, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1093078 belongs to Kroger Pharmacy #623 in Galloway, OH.
Certificate of Waiver, effective December 10, 2024, expires December 9, 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
- December 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 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
- 36D1093078
- Lab name
- Kroger Pharmacy #623
- Address
- 5800 West Broad Street, Galloway, OH 43119
- Phone
- (614) 870-4354
- Fax
- (614) 870-4541
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 Galloway, OH
Related
Questions
What is the CLIA number for Kroger Pharmacy #623 in Galloway?
36D1093078, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #623 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1093078 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.