44D2081542 CLIA NUMBER - KROGER PHARMACY #558

Laboratory Demographics

  • CLIA Code: 44D2081542
  • Facility Name: KROGER PHARMACY #558
  • Facility Address: 4414 ASHEVILLE HWY
    KNOXVILLE, TN
    ZIP 37914
  • Facility Phone: 865 521-2926
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1790719433
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2081542
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #558
Street 4414 ASHEVILLE HWY
City KNOXVILLE
State TN
ZIP 37914
Phone 865 521-2926
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

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