44D1027580 CLIA NUMBER - KROGER PHARMACY L-534

Laboratory Demographics

  • CLIA Code: 44D1027580
  • Facility Name: KROGER PHARMACY L-534
  • Facility Address: 301 SOUTH ELLINGTON PKWY ATTN PHARMACY
    LEWISBURG, TN
    ZIP 37091
  • Facility Phone: 931 359-2980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1255365987
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1027580
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-534
Street 301 SOUTH ELLINGTON PKWY ATTN PHARMACY
City LEWISBURG
State TN
ZIP 37091
Phone 931 359-2980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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