44D2081518 CLIA NUMBER - KROGER PHARMACY #862

Laboratory Demographics

  • CLIA Code: 44D2081518
  • Facility Name: KROGER PHARMACY #862
  • Facility Address: 244 S HALLS RD
    ALCOA, TN
    ZIP 37701
  • Facility Phone: (865) 977-7441
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: BRENDA BARNES
  • NPI Number: 1659305381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2081518
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #862
Street 244 S HALLS RD
City ALCOA
State TN
ZIP 37701
Phone 8659777441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Other - RETAIL PHARMACY
Lab Director BRENDA BARNES

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