CLIA lab

CLIA 36D1093669: Kroger Pharmacy #781

Proctorville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D1093669 belongs to Kroger Pharmacy #781 in Proctorville, OH.

Certificate of Waiver, effective December 29, 2024, expires December 28, 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 29, 2024
Certificate expiration
December 28, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 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
36D1093669
Lab name
Kroger Pharmacy #781
Address
6306 County Rd 107, Proctorville, OH 45669
Phone
(740) 886-7146
Fax
(740) 886-5665

Annual test volume the lab reported

Waived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Proctorville, OH

Related

Questions

What is the CLIA number for Kroger Pharmacy #781 in Proctorville?

36D1093669, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #781 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1093669 expire?

The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.

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