42D1001175 CLIA NUMBER - KROGER PHARMACY #448

Laboratory Demographics

  • CLIA Code: 42D1001175
  • Facility Name: KROGER PHARMACY #448
  • Facility Address: 10136 TWO NOTCH ROAD
    COLUMBIA, SC
    ZIP 29229
  • Facility Phone: 803 788-4141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIZA CHAPMAN
  • NPI Number: 1144254871
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D1001175
LAB Type Pharmacy
Facility Name KROGER PHARMACY #448
Street 10136 TWO NOTCH ROAD
City COLUMBIA
State SC
ZIP 29229
Phone 803 788-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Pharmacy
Lab Director LIZA CHAPMAN

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