01D2289486 CLIA NUMBER - KROGER PHARMACY #026-606

Laboratory Demographics

  • CLIA Code: 01D2289486
  • Facility Name: KROGER PHARMACY #026-606
  • Facility Address: 8847 HWY 72 N
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 870-4360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. LAUREL J. WIKE
  • NPI Number: 1033899950
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2289486
LAB Type Pharmacy
Facility Name KROGER PHARMACY #026-606
Street 8847 HWY 72 N
City MADISON
State AL
ZIP 35758
Phone 256 870-4360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director DR. LAUREL J. WIKE

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