49D1002081 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1002081
  • Facility Name: KROGER PHARMACY
  • Facility Address: 4816 S LABURNUM AVENUE
    RICHMOND, VA
    ZIP 23294
  • Facility Phone: 804 226-0010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1780618553
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1002081
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 4816 S LABURNUM AVENUE
City RICHMOND
State VA
ZIP 23294
Phone 804 226-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Pharmacy
Lab Director ANNE HARRISON

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