44D1010997 CLIA NUMBER - KROGER PHARMACY #484

Laboratory Demographics

  • CLIA Code: 44D1010997
  • Facility Name: KROGER PHARMACY #484
  • Facility Address: 775 PICKWICK ROAD ATTN PHARMACY
    SAVANNAH, TN
    ZIP 38372
  • Facility Phone: 731 925-6200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1588712582
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1010997
LAB Type Pharmacy
Facility Name KROGER PHARMACY #484
Street 775 PICKWICK ROAD ATTN PHARMACY
City SAVANNAH
State TN
ZIP 38372
Phone 731 925-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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