44D2081537 CLIA NUMBER - KROGER LIMITED PARTNERSHIP DBA KROGER PHARMACY #683

Laboratory Demographics

  • CLIA Code: 44D2081537
  • Facility Name: KROGER LIMITED PARTNERSHIP DBA KROGER PHARMACY #683
  • Facility Address: 507 N FOOTHILLS PLAZA
    MARYVILLE, TN
    ZIP 37801
  • Facility Phone: (865) 681-4924
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: BRENDA BARNES
  • NPI Number: 1316971054
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2081537
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER LIMITED PARTNERSHIP DBA KROGER PHARMACY #683
Street 507 N FOOTHILLS PLAZA
City MARYVILLE
State TN
ZIP 37801
Phone 8656814924
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

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: 5/18/2026