51D1094910 CLIA NUMBER - KROGER PHARMACY # 316

Laboratory Demographics

  • CLIA Code: 51D1094910
  • Facility Name: KROGER PHARMACY # 316
  • Facility Address: 1229 STAFFORD DRIVE
    PRINCETON, WV
    ZIP 24740
  • Facility Phone: (304) 487-1155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON
  • NPI Number: 1497789275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D1094910
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 316
Street 1229 STAFFORD DRIVE
City PRINCETON
State WV
ZIP 24740
Phone 3044871155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Pharmacy
Lab Director CHRIS KOON

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