01D2094218 CLIA NUMBER - KROGER PHARMACY #310

Laboratory Demographics

  • CLIA Code: 01D2094218
  • Facility Name: KROGER PHARMACY #310
  • Facility Address: 1401 S GILMER AVENUE
    LANETT, AL
    ZIP 36863
  • Facility Phone: 334 642-6888
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1417981259
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2094218
LAB Type Pharmacy
Facility Name KROGER PHARMACY #310
Street 1401 S GILMER AVENUE
City LANETT
State AL
ZIP 36863
Phone 334 642-6888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director CHUCK PAGE

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