44D2109470 CLIA NUMBER - KROGER PHARMACY #567 ATTN PHARMACIST IN CHARGE

Laboratory Demographics

  • CLIA Code: 44D2109470
  • Facility Name: KROGER PHARMACY #567 ATTN PHARMACIST IN CHARGE
  • Facility Address: 2201 21ST AVE S
    NASHVILLE, TN
    ZIP 37212
  • Facility Phone: 615 981-8847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1235232729
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2109470
LAB Type Pharmacy
Facility Name KROGER PHARMACY #567 ATTN PHARMACIST IN CHARGE
Street 2201 21ST AVE S
City NASHVILLE
State TN
ZIP 37212
Phone 615 981-8847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Pharmacy
Lab Director DR. MARC WATKINS

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