CLIA lab
CLIA 36D1093625: Kroger Pharmacy 014-447
Lebanon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1093625 belongs to Kroger Pharmacy 014-447 in Lebanon, OH.
Certificate of Waiver, effective December 24, 2024, expires December 23, 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 24, 2024
- Certificate expiration
- December 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 24, 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
- 36D1093625
- Lab name
- Kroger Pharmacy 014-447
- Address
- 1425 Columbus Avenue, Lebanon, OH 45036
- Phone
- (513) 228-7370
- Fax
- (513) 228-7395
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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- Bethesda Care Occupational MedicineCertificate of Waiver, Other36D0968965
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- CL Healthcare, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0908397
- CV Healthcare, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0345049
- Dulan and Moore Dulan FamilyCertificate for Provider-Performed Microscopy Procedures, Physician office36D0975028
- Embassy of Lebanon - Lebanon OhioCertificate of Waiver, Skilled nursing or nursing facility36D2337698
- Greater Cincinnati Behavioral Health ServicesCertificate of Waiver, Comprehensive outpatient rehab facility36D2314444
Related
Questions
What is the CLIA number for Kroger Pharmacy 014-447 in Lebanon?
36D1093625, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 014-447 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D1093625 expire?
The CMS file lists December 23, 2026 as the certificate expiration date; the certificate took effect December 24, 2024.