51D1033913 CLIA NUMBER - KROGER PHARMACY 753

Laboratory Demographics

  • CLIA Code: 51D1033913
  • Facility Name: KROGER PHARMACY 753
  • Facility Address: 930 DIVISION STREET
    PARKERSBURG, WV
    ZIP 26101
  • Facility Phone: 304 428-8534
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON
  • NPI Number: 1952335739
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1033913
LAB Type Pharmacy
Facility Name KROGER PHARMACY 753
Street 930 DIVISION STREET
City PARKERSBURG
State WV
ZIP 26101
Phone 304 428-8534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director CHRIS KOON

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