01D2022593 CLIA NUMBER - KROGER PHARMACY #11-677

Laboratory Demographics

  • CLIA Code: 01D2022593
  • Facility Name: KROGER PHARMACY #11-677
  • Facility Address: 7090 UNIVERSITY DR NW
    HUNTSVILLE, AL
    ZIP 35806
  • Facility Phone: 256 726-0610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CRAIN
  • NPI Number: 1790087468
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2022593
LAB Type Pharmacy
Facility Name KROGER PHARMACY #11-677
Street 7090 UNIVERSITY DR NW
City HUNTSVILLE
State AL
ZIP 35806
Phone 256 726-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director JEREMY CRAIN

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This page was last updated on: 9/29/2025