01D2084036 CLIA NUMBER - KROGER PHARMACY #849

Laboratory Demographics

  • CLIA Code: 01D2084036
  • Facility Name: KROGER PHARMACY #849
  • Facility Address: 8404 SW MEMORIAL PARKWAY
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 881-6481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CRAIN
  • NPI Number: 1508890344
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2084036
LAB Type Pharmacy
Facility Name KROGER PHARMACY #849
Street 8404 SW MEMORIAL PARKWAY
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 881-6481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Pharmacy
Lab Director JEREMY CRAIN

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