CLIA lab
CLIA 36D2053104: Kroger Pharmacy 014-722
Miamisburg, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2053104 belongs to Kroger Pharmacy 014-722 in Miamisburg, OH.
Certificate of Waiver, effective January 25, 2025, expires January 24, 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
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2013
- 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
- 36D2053104
- Lab name
- Kroger Pharmacy 014-722
- Address
- 10101 Landing Way, Attn Pharmacist In Charge, Miamisburg, OH 45342
- Phone
- (937) 384-4220
- Fax
- (937) 384-4221
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 Miamisburg, OH
- Advent - MiamisburgCertificate of Waiver, Physician office36D2316629
- CG Medical Associates, IncCertificate of Waiver, Physician office36D2285035
- Compunet Clinical LabCertificate of Accreditation, Hospital36D2153663
- Cornerstone Pediatrics LLCCertificate of Waiver, Physician office36D1007721
- DCH Cornerstone PediatricsCertificate of Waiver, Physician office36D2313689
- Dayton Gastroenterology, LLCCertificate of Waiver, Physician office36D0691675
- First Priority Urgent CareCertificate of Waiver, Other36D2328288
- Hope Care Team, LLCCertificate of Waiver, Home health agency36D2129130
- Hope Home Care LLCCertificate of Waiver, Home health agency36D2040966
- KHN Miamisburg Cardiopulmonary Dept LabCertificate of Accreditation, Hospital36D0668113
Related
Questions
What is the CLIA number for Kroger Pharmacy 014-722 in Miamisburg?
36D2053104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 014-722 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2053104 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.