49D1078123 CLIA NUMBER - KROGER PHARMACY #512

Laboratory Demographics

  • CLIA Code: 49D1078123
  • Facility Name: KROGER PHARMACY #512
  • Facility Address: 13201 RITTENHOUSE DRIVE - SWIFT CREEK
    MIDLOTHIAN, VA
    ZIP 23112
  • Facility Phone: 804 763-5403
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1417981291
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1078123
LAB Type Pharmacy
Facility Name KROGER PHARMACY #512
Street 13201 RITTENHOUSE DRIVE - SWIFT CREEK
City MIDLOTHIAN
State VA
ZIP 23112
Phone 804 763-5403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Pharmacy
Lab Director ANNE HARRISON

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