44D1097605 CLIA NUMBER - KROGER PHARMACY L-543

Laboratory Demographics

  • CLIA Code: 44D1097605
  • Facility Name: KROGER PHARMACY L-543
  • Facility Address: 2946 S CHURCH STREET ATTN PHARMACY
    MURFREESBORO, TN
    ZIP 37127
  • Facility Phone: 615 217-2825
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1134153877
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D1097605
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-543
Street 2946 S CHURCH STREET ATTN PHARMACY
City MURFREESBORO
State TN
ZIP 37127
Phone 615 217-2825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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