44D2041785 CLIA NUMBER - KROGER PHARMACY #698

Laboratory Demographics

  • CLIA Code: 44D2041785
  • Facility Name: KROGER PHARMACY #698
  • Facility Address: 5201 N BROADWAY NE ATTN PHARMACY
    KNOXVILLE, TN
    ZIP 37918
  • Facility Phone: 865 985-7970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1659607141
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2041785
LAB Type Pharmacy
Facility Name KROGER PHARMACY #698
Street 5201 N BROADWAY NE ATTN PHARMACY
City KNOXVILLE
State TN
ZIP 37918
Phone 865 985-7970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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