CLIA lab

CLIA 36D2116564: Kroger Pharmacy #871

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

CLIA number 36D2116564 belongs to Kroger Pharmacy #871 in Gahanna, OH.

Certificate of Waiver, effective July 28, 2026, expires July 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
July 28, 2026
Certificate expiration
July 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 28, 2016
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
36D2116564
Lab name
Kroger Pharmacy #871
Address
1365 Stoneridge Dr, Gahanna, OH 43230
Phone
(614) 418-1529
Fax
(614) 418-1531

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 Gahanna, OH

Related

Questions

What is the CLIA number for Kroger Pharmacy #871 in Gahanna?

36D2116564, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kroger Pharmacy #871 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2116564 expire?

The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.

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