51D2009592 CLIA NUMBER - KROGER PHARMACY # 782

Laboratory Demographics

  • CLIA Code: 51D2009592
  • Facility Name: KROGER PHARMACY # 782
  • Facility Address: 19 7TH AVENUE WEST
    HUNTINGTON, WV
    ZIP 25701
  • Facility Phone: 304 522-6677
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON
  • NPI Number: 1215961099
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2009592
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 782
Street 19 7TH AVENUE WEST
City HUNTINGTON
State WV
ZIP 25701
Phone 304 522-6677
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