Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
51D2009588
|
|
Clinical laboratory number
|
|
Lab Name
|
KROGER PHARMACY # 817
|
|
Laboratory Name
|
|
Lab Type
|
Pharmacy
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
304-369-9074
|
|
Laboratory telephone number
|
|
Fax
|
304-369-9087
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
3265 SMOOT AVENUE
|
|
Primary location adress line
|
|
City
|
MADISON
|
|
Primary location city name
|
|
State
|
WV
|
|
Primary location state name
|
|
Zip
|
25130
|
|
Primary location postal code
|