44D1021998 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 44D1021998
  • Facility Name: KROGER PHARMACY
  • Facility Address: 702 WINFIELD DUNN PARKWAY ATTN PHARMACY
    SEVIERVILLE, TN
    ZIP 37876
  • Facility Phone: 865 429-1451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1407880149
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1021998
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 702 WINFIELD DUNN PARKWAY ATTN PHARMACY
City SEVIERVILLE
State TN
ZIP 37876
Phone 865 429-1451
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