49D1068317 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 49D1068317
  • Facility Name: KROGER PHARMACY
  • Facility Address: 12726 JEFFERSON DAVIS HIGHWAY
    CHESTER, VA
    ZIP 23831
  • Facility Phone: 804 414-7001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1407880271
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1068317
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 12726 JEFFERSON DAVIS HIGHWAY
City CHESTER
State VA
ZIP 23831
Phone 804 414-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director ANNE HARRISON

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