44D2118653 CLIA NUMBER - KROGER PHARMACY #569

Laboratory Demographics

  • CLIA Code: 44D2118653
  • Facility Name: KROGER PHARMACY #569
  • Facility Address: 2011 NASHVILLE PIKE
    GALLATIN, TN
    ZIP 37066
  • Facility Phone: 615 230-3901
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: JEREMY CRAIN
  • NPI Number: 1073547709
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2118653
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #569
Street 2011 NASHVILLE PIKE
City GALLATIN
State TN
ZIP 37066
Phone 615 230-3901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other - PHARMACY
Lab Director JEREMY CRAIN

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