Healther Providers Data Logo

51D1068458 CLIA NUMBER - KROGER PHARMACY #790

Laboratory Demographics

CLIA Number: 51D1068458

Facility Name: KROGER PHARMACY #790

Facility Address:
133 BECKLEY CROSSING
BECKLEY, WV
ZIP 25801
Get Directions

Facility Phone Number: 304 252-3480

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1699709303

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 51D1068458
LAB Type Pharmacy
Facility Name KROGER PHARMACY #790
Street 133 BECKLEY CROSSING
City BECKLEY
State WV
ZIP 25801
Phone 304 252-3480
CertificateType 4
CertificateEffectiveDate 5/11/2023
CertificateExpirationDate 5/10/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024