CLIA lab

CLIA 36D2021121: Kroger Pharmacy #522

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

CLIA number 36D2021121 belongs to Kroger Pharmacy #522 in Gahanna, OH.

Certificate of Waiver, effective March 7, 2025, expires March 6, 2027.

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
March 7, 2025
Certificate expiration
March 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 2011
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
36D2021121
Lab name
Kroger Pharmacy #522
Address
300 South Hamilton Road, Gahanna, OH 43230
Phone
(614) 416-6420
Fax
(614) 416-6422

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 Gahanna, OH

Related

Questions

What is the CLIA number for Kroger Pharmacy #522 in Gahanna?

36D2021121, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #522 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2021121 expire?

The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.

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