CLIA lab
CLIA 36D2040892: Kroger Pharmacy #910
St Marys, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2040892 belongs to Kroger Pharmacy #910 in St Marys, OH.
Certificate of Waiver, effective May 11, 2026, expires May 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
- May 11, 2026
- Certificate expiration
- May 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 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
- 36D2040892
- Lab name
- Kroger Pharmacy #910
- Address
- 475 Fortman Drive, St Marys, OH 45885
- Phone
- (419) 394-8930
- Fax
- (419) 394-8555
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 St Marys, OH
- Angela Rogers Family Practice LLCCertificate of Waiver, Other practitioner36D2299730
- Grand Lake Operations DBACertificate of Waiver, Skilled nursing or nursing facility36D0705224
- Grand Lake Primary Care ST MarysCertificate of Waiver, Physician office36D0960800
- Grand Lake UrologyCertificate of Waiver, Physician office36D2293780
- Grand Lakes Neurological CenterCertificate of Waiver, Physician office36D2079161
- Green Palms Health and Rehab of ST Marys, LLCCertificate of Waiver, Skilled nursing or nursing facility36D0656530
- Joint TWP Dist Mem Hosp/New Vision MedCertificate of Accreditation, Hospital36D0351859
- Jtdmh TransportCertificate of Waiver, Ambulance36D1012691
- Otterbein ST MarysCertificate of Waiver, Skilled nursing or nursing facility36D0718118
Related
Questions
What is the CLIA number for Kroger Pharmacy #910 in St Marys?
36D2040892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #910 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2040892 expire?
The CMS file lists May 10, 2028 as the certificate expiration date; the certificate took effect May 11, 2026.