44D1091527 CLIA NUMBER - KROGER PHARMACY 328

Laboratory Demographics

  • CLIA Code: 44D1091527
  • Facility Name: KROGER PHARMACY 328
  • Facility Address: 1664 E STONE DRIVE ATTN PHARMACY
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 392-0844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1437183167
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1091527
LAB Type Pharmacy
Facility Name KROGER PHARMACY 328
Street 1664 E STONE DRIVE ATTN PHARMACY
City KINGSPORT
State TN
ZIP 37660
Phone 423 392-0844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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