49D1078494 CLIA NUMBER - KROGER PHARMACY #511

Laboratory Demographics

  • CLIA Code: 49D1078494
  • Facility Name: KROGER PHARMACY #511
  • Facility Address: 901 NORTH LOMBARDY STREET
    RICHMOND, VA
    ZIP 23219
  • Facility Phone: 804 213-3623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1235163015
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1078494
LAB Type Pharmacy
Facility Name KROGER PHARMACY #511
Street 901 NORTH LOMBARDY STREET
City RICHMOND
State VA
ZIP 23219
Phone 804 213-3623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director ANNE HARRISON

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