CLIA lab
CLIA 36D2133401: Kroger Pharmacy 014-960
Centerville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2133401 belongs to Kroger Pharmacy 014-960 in Centerville, OH.
Certificate of Waiver, effective July 12, 2025, expires July 11, 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
- July 12, 2025
- Certificate expiration
- July 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 12, 2017
- 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
- 36D2133401
- Lab name
- Kroger Pharmacy 014-960
- Address
- 5400 Cornerstone North Blvd, Centerville, OH 45440
- Phone
- (937) 528-7060
- Fax
- (937) 528-7061
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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- Amy Brenner MD & AssociatesCertificate of Waiver, Physician office36D2328868
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344279
- Associated Specialists of InternalCertificate of Waiver, Physician office36D0957368
- Austin Trace Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility36D2155527
- Bethany VillageCertificate of Waiver, Assisted living facility36D0688379
- Centerville Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office36D0034023
- Centerville Post AcuteCertificate of Waiver, Skilled nursing or nursing facility36D0931410
- Centerville Primary CareCertificate of Waiver, Prison36D2308862
- Cincinnati Children's Hospital CentervilleCertificate of Waiver, Physician office36D2274286
Related
Questions
What is the CLIA number for Kroger Pharmacy 014-960 in Centerville?
36D2133401, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kroger Pharmacy 014-960 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2133401 expire?
The CMS file lists July 11, 2027 as the certificate expiration date; the certificate took effect July 12, 2025.