49D1065849 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1065849
  • Facility Name: KROGER PHARMACY
  • Facility Address: 7223 WILLIAMSON ROAD
    ROANOKE, VA
    ZIP 24019
  • Facility Phone: 540 561-3935
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1972537751
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1065849
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 7223 WILLIAMSON ROAD
City ROANOKE
State VA
ZIP 24019
Phone 540 561-3935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director JAMIE REMINES

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