44D2000744 CLIA NUMBER - KROGER PHARMACY L-523

Laboratory Demographics

  • CLIA Code: 44D2000744
  • Facility Name: KROGER PHARMACY L-523
  • Facility Address: 143 HENSLEE DR ATTN PHARMACY
    DICKSON, TN
    ZIP 37055
  • Facility Phone: 615 446-5222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1558395285
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2000744
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-523
Street 143 HENSLEE DR ATTN PHARMACY
City DICKSON
State TN
ZIP 37055
Phone 615 446-5222
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 DR. MARC WATKINS

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