44D2000738 CLIA NUMBER - KROGER LIMITED PARTNERSHIP I DBA KROGER PHARMACY L-619

Laboratory Demographics

  • CLIA Code: 44D2000738
  • Facility Name: KROGER LIMITED PARTNERSHIP I DBA KROGER PHARMACY L-619
  • Facility Address: 237 E MAIN ST
    HENDERSONVILLE, TN
    ZIP 37075
  • Facility Phone: 615 822-6797
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CRAIN
  • NPI Number: 1760416499
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2000738
LAB Type Pharmacy
Facility Name KROGER LIMITED PARTNERSHIP I DBA KROGER PHARMACY L-619
Street 237 E MAIN ST
City HENDERSONVILLE
State TN
ZIP 37075
Phone 615 822-6797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director JEREMY CRAIN

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