CLIA lab
CLIA 36D2028731: Kroger Pharmacy #014838
Fairborn, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2028731 belongs to Kroger Pharmacy #014838 in Fairborn, OH.
Certificate of Waiver, effective August 23, 2025, expires August 22, 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
- August 23, 2025
- Certificate expiration
- August 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 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
- 36D2028731
- Lab name
- Kroger Pharmacy #014838
- Address
- 1161 E Dayton-Yellow Springs Road, Fairborn, OH 45324
- Phone
- (937) 318-3920
- Fax
- (937) 318-3921
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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- Dan F Bautista MDCertificate of Waiver, Physician office36D0952421
- Dayspring Transitional Care CenterCertificate of Waiver, Skilled nursing or nursing facility36D0938834
- Dayton Springfield Emergency CenterCertificate of Accreditation, Other36D2168720
- Decoach Recovery Center - Yellow SpringsCertificate of Waiver, Physician office36D2336665
- Decoach Rehabilitation CentreCertificate of Waiver, Comprehensive outpatient rehab facility36D2172179
- Decoach Rehabilitation Centre FairbornCertificate of Waiver, Physician office36D2303403
- Fairborn Assisted LivingCertificate of Waiver, Assisted living facility36D2337880
- Fairborn Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office36D0348330
Related
Questions
What is the CLIA number for Kroger Pharmacy #014838 in Fairborn?
36D2028731, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #014838 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2028731 expire?
The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.