44D2037256 CLIA NUMBER - KROGER PHARMACY #686

Laboratory Demographics

  • CLIA Code: 44D2037256
  • Facility Name: KROGER PHARMACY #686
  • Facility Address: 189 BROOKLAWN ST ATTN PHARMACY
    KNOXVILLE, TN
    ZIP 37934
  • Facility Phone: 865 671-7920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1538319298
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2037256
LAB Type Pharmacy
Facility Name KROGER PHARMACY #686
Street 189 BROOKLAWN ST ATTN PHARMACY
City KNOXVILLE
State TN
ZIP 37934
Phone 865 671-7920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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