CLIA lab

CLIA 36D2115048: Kroger Pharmacy 014-925

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

CLIA number 36D2115048 belongs to Kroger Pharmacy 014-925 in Springboro, OH.

Certificate of Waiver, effective June 27, 2026, expires June 26, 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
June 27, 2026
Certificate expiration
June 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 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
36D2115048
Lab name
Kroger Pharmacy 014-925
Address
625 West Central Ave, Springboro, OH 45066
Phone
(937) 514-7130
Fax
(937) 514-7131

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 014-925 in Springboro?

36D2115048, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy 014-925 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2115048 expire?

The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.

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