49D1078128 CLIA NUMBER - KROGER PHARMACY #500

Laboratory Demographics

  • CLIA Code: 49D1078128
  • Facility Name: KROGER PHARMACY #500
  • Facility Address: 9480 WEST BRAOD STREET
    RICHMOND, VA
    ZIP 23294
  • Facility Phone: 804 270-1816
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1699709469
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1078128
LAB Type Pharmacy
Facility Name KROGER PHARMACY #500
Street 9480 WEST BRAOD STREET
City RICHMOND
State VA
ZIP 23294
Phone 804 270-1816
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