44D2119122 CLIA NUMBER - KROGER PHARMACY 670

Laboratory Demographics

  • CLIA Code: 44D2119122
  • Facility Name: KROGER PHARMACY 670
  • Facility Address: 234 E EMORY ROAD
    POWELL, TN
    ZIP 37849
  • Facility Phone: 865 761-7110
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: DR. MARC WATKINS
  • NPI Number: 1508216029
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2119122
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY 670
Street 234 E EMORY ROAD
City POWELL
State TN
ZIP 37849
Phone 865 761-7110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other - PHARMACY
Lab Director DR. MARC WATKINS

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This page was last updated on: 3/20/2025