44D1027612 CLIA NUMBER - KROGER PHARMACY L-502

Laboratory Demographics

  • CLIA Code: 44D1027612
  • Facility Name: KROGER PHARMACY L-502
  • Facility Address: ATTN PHARMACY 800 MONROE STREET
    NASHVILLE, TN
    ZIP 37208
  • Facility Phone: 615 256-6068
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1689608317
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1027612
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-502
Street ATTN PHARMACY 800 MONROE STREET
City NASHVILLE
State TN
ZIP 37208
Phone 615 256-6068
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

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This page was last updated on: 6/4/2025