CLIA lab
CLIA 36D2003804: Kroger Pharmacy #016518
Mansfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2003804 belongs to Kroger Pharmacy #016518 in Mansfield, OH.
Certificate of Waiver, effective February 18, 2026, expires February 17, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 18, 2026
- Certificate expiration
- February 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2010
- 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
- 36D2003804
- Lab name
- Kroger Pharmacy #016518
- Address
- 1240 Park Avenue West, Mansfield, OH 44906
- Phone
- (419) 528-1862
- Fax
- (419) 528-1864
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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- Avita Health ServicesCertificate of Waiver, Physician office36D2110541
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- Biomat Holdings, LLC DBACertificate of Accreditation, Other36D2254993
- Bma MansfieldCertificate of Waiver, End stage renal disease dialysis facility36D0344559
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- Cambridge Home Health Care, Inc DBACertificate of Waiver, Home health agency36D1065624
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Related
Questions
What is the CLIA number for Kroger Pharmacy #016518 in Mansfield?
36D2003804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #016518 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2003804 expire?
The CMS file lists February 17, 2028 as the certificate expiration date; the certificate took effect February 18, 2026.