49D1077759 CLIA NUMBER - KROGER PHARMACY #215

Laboratory Demographics

  • CLIA Code: 49D1077759
  • Facility Name: KROGER PHARMACY #215
  • Facility Address: 7480 LEE HIGHWAY
    RADFORD, VA
    ZIP 24141
  • Facility Phone: 540 633-6710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1619901485
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1077759
LAB Type Pharmacy
Facility Name KROGER PHARMACY #215
Street 7480 LEE HIGHWAY
City RADFORD
State VA
ZIP 24141
Phone 540 633-6710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Pharmacy
Lab Director JAMIE REMINES

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