51D2009584 CLIA NUMBER - KROGER PHARMACY # 805

Laboratory Demographics

  • CLIA Code: 51D2009584
  • Facility Name: KROGER PHARMACY # 805
  • Facility Address: 1734 HARPER ROAD
    BECKLEY, WV
    ZIP 25801
  • Facility Phone: 304 254-0523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON
  • NPI Number: 1942234729
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Pharmacy
Lab Director CHRIS KOON

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