18D1094006 CLIA NUMBER - KROGER PHARMACY L-760

Laboratory Demographics

  • CLIA Code: 18D1094006
  • Facility Name: KROGER PHARMACY L-760
  • Facility Address: 14889 N US 25E, SUITE 2A
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 606 528-7211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1437183274
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1094006
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-760
Street 14889 N US 25E, SUITE 2A
City CORBIN
State KY
ZIP 40701
Phone 606 528-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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