CLIA lab

CLIA 36D2040920: Kroger Pharmacy 014-426

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

CLIA number 36D2040920 belongs to Kroger Pharmacy 014-426 in Mason, 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
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
36D2040920
Lab name
Kroger Pharmacy 014-426
Address
5210 State Route 741, Mason, OH 45040
Phone
(513) 398-8820
Fax
(513) 398-4815

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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Related

Questions

What is the CLIA number for Kroger Pharmacy 014-426 in Mason?

36D2040920, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 014-426 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2040920 expire?

The CMS file lists May 10, 2028 as the certificate expiration date; the certificate took effect May 11, 2026.

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