51D2000057 CLIA NUMBER - KROGER PHARMACY # 780

Laboratory Demographics

  • CLIA Code: 51D2000057
  • Facility Name: KROGER PHARMACY # 780
  • Facility Address: 400 MALL ROAD
    OAK HILL, WV
    ZIP 25901
  • Facility Phone: 304 465-0321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON
  • NPI Number: 1932133717
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2000057
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 780
Street 400 MALL ROAD
City OAK HILL
State WV
ZIP 25901
Phone 304 465-0321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director CHRIS KOON

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