49D1066052 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1066052
  • Facility Name: KROGER PHARMACY
  • Facility Address: 161 ELECTRIC ROAD
    SALEM, VA
    ZIP 24153
  • Facility Phone: 540 986-4623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1356366074
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1066052
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 161 ELECTRIC ROAD
City SALEM
State VA
ZIP 24153
Phone 540 986-4623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Pharmacy
Lab Director JAMIE REMINES

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