44D1075104 CLIA NUMBER - KROGER PHARMACY #L-545

Laboratory Demographics

  • CLIA Code: 44D1075104
  • Facility Name: KROGER PHARMACY #L-545
  • Facility Address: 510 HIGHWAY 76 EAST
    WHITE HOUSE, TN
    ZIP 37188
  • Facility Phone: (615) 672-3905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDA BARNES
  • NPI Number: 1043244783
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1075104
LAB Type Pharmacy
Facility Name KROGER PHARMACY #L-545
Street 510 HIGHWAY 76 EAST
City WHITE HOUSE
State TN
ZIP 37188
Phone 6156723905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director BRENDA BARNES

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This page was last updated on: 5/18/2026