CLIA lab
CLIA 36D2059983: Kroger Pharmacy #590
Jackson, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2059983 belongs to Kroger Pharmacy #590 in Jackson, OH.
Certificate of Waiver, effective June 4, 2025, expires June 3, 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
- June 4, 2025
- Certificate expiration
- June 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 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
- 36D2059983
- Lab name
- Kroger Pharmacy #590
- Address
- 530 E Main St, Jackson, OH 45640
- Phone
- (740) 286-6400
- Fax
- (740) 286-4510
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 Jackson, OH
- Adena Family Medicine Ironmen ClinicCertificate of Waiver, Physician office36D2160554
- Adena Health Center - JacksonCertificate of Waiver, Hospital36D1017591
- Adena Health System Jackson FamilyCertificate of Waiver, Physician office36D0957375
- Adena OB GYN JacksonCertificate of Waiver, Ancillary test site36D2020288
- Adena Ob/GynCertificate of Waiver, Mobile lab36D2229054
- Adena Occupational Health JacksonCertificate of Waiver, Other36D2253836
- Adena Pediatrics - JacksonCertificate of Waiver, Physician office36D2332199
- Adena Urology JacksonCertificate of Waiver, Physician office36D2023764
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344324
- Bellisio Health CenterCertificate of Waiver, Other36D2146830
Related
Questions
What is the CLIA number for Kroger Pharmacy #590 in Jackson?
36D2059983, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #590 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2059983 expire?
The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.