01D2084047 CLIA NUMBER - KROGER PHARMACY # 508

Laboratory Demographics

  • CLIA Code: 01D2084047
  • Facility Name: KROGER PHARMACY # 508
  • Facility Address: 2110 OAKWOOD AVENUE N
    HUNTSVILLE, AL
    ZIP 35810
  • Facility Phone: 256 569-5136
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CRAIN
  • NPI Number: 1699709436
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2084047
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 508
Street 2110 OAKWOOD AVENUE N
City HUNTSVILLE
State AL
ZIP 35810
Phone 256 569-5136
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