44D2081526 CLIA NUMBER - KROGER PHARMACY #628

Laboratory Demographics

  • CLIA Code: 44D2081526
  • Facility Name: KROGER PHARMACY #628
  • Facility Address: 1820 ROAN STATE HWY
    HARRIMAN, TN
    ZIP 37748
  • Facility Phone: 865 717-9496
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1689608325
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2081526
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #628
Street 1820 ROAN STATE HWY
City HARRIMAN
State TN
ZIP 37748
Phone 865 717-9496
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 DR. MARC WATKINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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