51D2041370 CLIA NUMBER - KROGER PHARMACY # 202

Laboratory Demographics

  • CLIA Code: 51D2041370
  • Facility Name: KROGER PHARMACY # 202
  • Facility Address: 1241 WARWOOD AVENUE
    WHEELING, WV
    ZIP 26003
  • Facility Phone: 304 277-3587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW M. RAFA
  • NPI Number: 1245264035
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 51D2041370
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 202
Street 1241 WARWOOD AVENUE
City WHEELING
State WV
ZIP 26003
Phone 304 277-3587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Pharmacy
Lab Director MATTHEW M. RAFA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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