49D1065993 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1065993
  • Facility Name: KROGER PHARMACY
  • Facility Address: 1356 GASKINS ROAD
    RICHMOND, VA
    ZIP 23233
  • Facility Phone: (804) 740-0011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1417981283
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1065993
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 1356 GASKINS ROAD
City RICHMOND
State VA
ZIP 23233
Phone 8047400011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Pharmacy
Lab Director ANNE HARRISON

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This page was last updated on: 5/18/2026