44D1021959 CLIA NUMBER - KROGER PHARMACY L-544

Laboratory Demographics

  • CLIA Code: 44D1021959
  • Facility Name: KROGER PHARMACY L-544
  • Facility Address: 1489 MADISON STREET ATTN PHARMACY
    CLARKSVILLE, TN
    ZIP 37042
  • Facility Phone: 931 553-0254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1609800341
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1021959
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-544
Street 1489 MADISON STREET ATTN PHARMACY
City CLARKSVILLE
State TN
ZIP 37042
Phone 931 553-0254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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