44D2002812 CLIA NUMBER - KROGER PHARMACY L-533

Laboratory Demographics

  • CLIA Code: 44D2002812
  • Facility Name: KROGER PHARMACY L-533
  • Facility Address: 3930 CLARKSVILLE HWY ATTN PHARMACY
    NASHVILLE, TN
    ZIP 37218
  • Facility Phone: 615 876-2024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1518991249
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2002812
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-533
Street 3930 CLARKSVILLE HWY ATTN PHARMACY
City NASHVILLE
State TN
ZIP 37218
Phone 615 876-2024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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