CLIA lab
CLIA 36D2030247: Kroger Pharmacy 014-920
Mount Orab, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2030247 belongs to Kroger Pharmacy 014-920 in Mount Orab, OH.
Certificate of Waiver, effective September 23, 2025, expires September 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 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
- 36D2030247
- Lab name
- Kroger Pharmacy 014-920
- Address
- 210 Sterling Run Blvd, Mount Orab, OH 45154
- Phone
- (937) 444-5014
- Fax
- (937) 444-5013
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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- Hospice of Hope Ohio ValleyCertificate of Waiver, Hospice36D0897245
- Little Clinic of Ohio LLC, theCertificate of Waiver, Other36D2041386
- Mercy Health MT Orab Family MedicineCertificate of Waiver, Physician office36D0952395
- Mercy Health Mount OrabCertificate of Waiver, Ancillary test site36D2115008
- Mercy Medical Center MT OrabCertificate of Accreditation, Hospital36D1094027
- Premier Pain Treatment InstituteCertificate of Waiver, Physician office36D2112110
- Senior Homecare Unlimited LLCCertificate of Waiver, Home health agency36D2047600
Related
Questions
What is the CLIA number for Kroger Pharmacy 014-920 in Mount Orab?
36D2030247, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 014-920 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2030247 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.