44D1047399 CLIA NUMBER - KROGER PHARMACY #025 463

Laboratory Demographics

  • CLIA Code: 44D1047399
  • Facility Name: KROGER PHARMACY #025 463
  • Facility Address: 5270 AIRLINE ROAD
    ARLINGTON, TN
    ZIP 38002
  • Facility Phone: 901 290-9270
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINDY FISHER
  • NPI Number: 1700810439
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1047399
LAB Type Pharmacy
Facility Name KROGER PHARMACY #025 463
Street 5270 AIRLINE ROAD
City ARLINGTON
State TN
ZIP 38002
Phone 901 290-9270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director CINDY FISHER

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