44D2009181 CLIA NUMBER - KROGER PHARMACY #599

Laboratory Demographics

  • CLIA Code: 44D2009181
  • Facility Name: KROGER PHARMACY #599
  • Facility Address: 265 HIGHLAND SQUARE
    CROSSVILLE, TN
    ZIP 38555
  • Facility Phone: (931) 456-7647
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDA BARNES
  • NPI Number: 1639103369
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2009181
LAB Type Pharmacy
Facility Name KROGER PHARMACY #599
Street 265 HIGHLAND SQUARE
City CROSSVILLE
State TN
ZIP 38555
Phone 9314567647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Pharmacy
Lab Director BRENDA BARNES

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This page was last updated on: 5/18/2026