51D2009584 CLIA NUMBER - KROGER PHARMACY # 805

Home > CLIA Lookup > 51D2009584

Laboratory Demographics

CLIA Number: 51D2009584

Facility Name: KROGER PHARMACY # 805

Facility Address:
1734 HARPER ROAD
BECKLEY, WV
ZIP 25801
Get Directions

Facility Phone Number: 304 254-0523

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942234729

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	51D2009584
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY # 805
Street	1734 HARPER ROAD
City	BECKLEY
State	WV
ZIP	25801
Phone	304 254-0523
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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