CLIA lab
CLIA 36D2039498: Kroger Pharmacy #741
Springfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2039498 belongs to Kroger Pharmacy #741 in Springfield, OH.
Certificate of Waiver, effective April 11, 2026, expires April 10, 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
- April 11, 2026
- Certificate expiration
- April 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2012
- Facility type
- Other
- 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
- 36D2039498
- Lab name
- Kroger Pharmacy #741
- Address
- 2989 Derr Road, Springfield, OH 45503
- Phone
- (937) 390-0767
- Fax
- (937) 390-6344
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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- Autumn Behavioral Health CenterCertificate of Waiver, Community clinic36D2337746
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- Brookdale Buck CreekCertificate of Waiver, Assisted living facility36D2054350
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- Champion City Home Health Care LLCCertificate of Waiver, Home health agency36D2255404
Related
Questions
What is the CLIA number for Kroger Pharmacy #741 in Springfield?
36D2039498, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #741 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2039498 expire?
The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.