44D2045957 CLIA NUMBER - KROGER LIMITED PARTNERSHIP I DBA KROGER PHARMACY #690

Laboratory Demographics

  • CLIA Code: 44D2045957
  • Facility Name: KROGER LIMITED PARTNERSHIP I DBA KROGER PHARMACY #690
  • Facility Address: 1550 OAK RIDGE TURNPIKE ATTN PHARMACY
    OAK RIDGE, TN
    ZIP 37830
  • Facility Phone: 865 294-0215
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: MARC WATKIN
  • NPI Number: 1497789127
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2045957
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER LIMITED PARTNERSHIP I DBA KROGER PHARMACY #690
Street 1550 OAK RIDGE TURNPIKE ATTN PHARMACY
City OAK RIDGE
State TN
ZIP 37830
Phone 865 294-0215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Other - RETAIL PHARMACY
Lab Director MARC WATKIN

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