CLIA lab
CLIA 36D2112412: Kroger Pharmacy #264
Lancaster, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2112412 belongs to Kroger Pharmacy #264 in Lancaster, OH.
Certificate of Waiver, effective April 28, 2026, expires April 27, 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
- April 28, 2026
- Certificate expiration
- April 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2016
- 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
- 36D2112412
- Lab name
- Kroger Pharmacy #264
- Address
- 1621 N Memorial Drive, Lancaster, OH 43130
- Phone
- (740) 654-2044
- Fax
- (740) 681-4069
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 #264 in Lancaster?
36D2112412, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy #264 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2112412 expire?
The CMS file lists April 27, 2028 as the certificate expiration date; the certificate took effect April 28, 2026.