49D1067804 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1067804
  • Facility Name: KROGER PHARMACY
  • Facility Address: 14101 MIDLOTHIAN TURNPIKE
    MIDLOTHIAN, VA
    ZIP 23113
  • Facility Phone: 804 594-1645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1366576894
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1067804
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 14101 MIDLOTHIAN TURNPIKE
City MIDLOTHIAN
State VA
ZIP 23113
Phone 804 594-1645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Pharmacy
Lab Director ANNE HARRISON

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