51D2117652 CLIA NUMBER - KROGER PHARMACY #803

Laboratory Demographics

  • CLIA Code: 51D2117652
  • Facility Name: KROGER PHARMACY #803
  • Facility Address: 100 ST THOMAS DR
    WEIRTON, WV
    ZIP 26062
  • Facility Phone: 304 723-5108
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1174557961
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2117652
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #803
Street 100 ST THOMAS DR
City WEIRTON
State WV
ZIP 26062
Phone 304 723-5108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Other - PHARMACY
Lab Director STEVE BURSON

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