44D2021707 CLIA NUMBER - KROGER PHARMACY #549

Laboratory Demographics

  • CLIA Code: 44D2021707
  • Facility Name: KROGER PHARMACY #549
  • Facility Address: 6702 CLINTON HWY ATTN PHARMACY
    KNOXVILLE, TN
    ZIP 37912
  • Facility Phone: 770 496-7456
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1225062961
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2021707
LAB Type Pharmacy
Facility Name KROGER PHARMACY #549
Street 6702 CLINTON HWY ATTN PHARMACY
City KNOXVILLE
State TN
ZIP 37912
Phone 770 496-7456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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