49D1078306 CLIA NUMBER - KROGER PHARMACY # 510

Laboratory Demographics

  • CLIA Code: 49D1078306
  • Facility Name: KROGER PHARMACY # 510
  • Facility Address: 6335 MECHANICSVILLE TURNPIKE
    MECHANICSVILLE, VA
    ZIP 23111
  • Facility Phone: 804 730-6833
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1699709477
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1078306
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 510
Street 6335 MECHANICSVILLE TURNPIKE
City MECHANICSVILLE
State VA
ZIP 23111
Phone 804 730-6833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Pharmacy
Lab Director ANNE HARRISON

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