51D1075304 CLIA NUMBER - KROGER PHARMACY #725

Laboratory Demographics

  • CLIA Code: 51D1075304
  • Facility Name: KROGER PHARMACY #725
  • Facility Address: 1439 MACCORKLE AVENUE
    SAINT ALBANS, WV
    ZIP 25177
  • Facility Phone: (304) 722-5086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON

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CLIA Record

Field Name Field Value
CLIA Number 51D1075304
LAB Type Pharmacy
Facility Name KROGER PHARMACY #725
Street 1439 MACCORKLE AVENUE
City SAINT ALBANS
State WV
ZIP 25177
Phone 3047225086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Pharmacy
Lab Director CHRIS KOON

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This page was last updated on: 5/18/2026