CLIA lab
CLIA 36D2095042: Kroger Pharmacy #831
Trimble, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2095042 belongs to Kroger Pharmacy #831 in Trimble, OH.
Certificate of Waiver, effective April 29, 2025, expires April 28, 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
- April 29, 2025
- Certificate expiration
- April 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2015
- 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
- 36D2095042
- Lab name
- Kroger Pharmacy #831
- Address
- 19471 Lake Dr, Trimble, OH 45782
- Phone
- (740) 767-3851
- Fax
- (740) 767-3971
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.
Related
Questions
What is the CLIA number for Kroger Pharmacy #831 in Trimble?
36D2095042, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #831 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2095042 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.