CLIA lab

CLIA 36D2090352: Kroger Pharmacy #907

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

CLIA number 36D2090352 belongs to Kroger Pharmacy #907 in Holland, OH.

Certificate of Waiver, effective January 22, 2025, expires January 21, 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 22, 2025
Certificate expiration
January 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2015
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
36D2090352
Lab name
Kroger Pharmacy #907
Address
7059 Orchard Centre Dr, Holland, OH 43528
Phone
(567) 297-4110

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 Holland, OH

Related

Questions

What is the CLIA number for Kroger Pharmacy #907 in Holland?

36D2090352, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #907 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2090352 expire?

The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.

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