44D1027610 CLIA NUMBER - KROGER PHARMACY L-507

Laboratory Demographics

  • CLIA Code: 44D1027610
  • Facility Name: KROGER PHARMACY L-507
  • Facility Address: 1202 S J CAMPBELL BLVD ATTN PHARMACY
    COLUMBIA, TN
    ZIP 38401
  • Facility Phone: 931 388-9004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1467486191
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1027610
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-507
Street 1202 S J CAMPBELL BLVD ATTN PHARMACY
City COLUMBIA
State TN
ZIP 38401
Phone 931 388-9004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
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