51D2117653 CLIA NUMBER - KROGER PHARMACY #268

Laboratory Demographics

  • CLIA Code: 51D2117653
  • Facility Name: KROGER PHARMACY #268
  • Facility Address: 91 27TH STREET
    WELLSBURG, WV
    ZIP 26070
  • Facility Phone: 304 243-6230
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: STEVE BURSON
  • NPI Number: 1760416556
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2117653
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #268
Street 91 27TH STREET
City WELLSBURG
State WV
ZIP 26070
Phone 304 243-6230
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