49D1078493 CLIA NUMBER - KROGER PHARMACY #402

Laboratory Demographics

  • CLIA Code: 49D1078493
  • Facility Name: KROGER PHARMACY #402
  • Facility Address: 1322 SOUTH MAIN STREET
    BLACKSBURG, VA
    ZIP 24060
  • Facility Phone: 540 953-0600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1437174133
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1078493
LAB Type Pharmacy
Facility Name KROGER PHARMACY #402
Street 1322 SOUTH MAIN STREET
City BLACKSBURG
State VA
ZIP 24060
Phone 540 953-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Pharmacy
Lab Director JAMIE REMINES

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