49D1093720 CLIA NUMBER - KROGER PHARMACY #515

Laboratory Demographics

  • CLIA Code: 49D1093720
  • Facility Name: KROGER PHARMACY #515
  • Facility Address: 9351 ATLEE DRIVE
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 569-8241
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1114171618
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1093720
LAB Type Pharmacy
Facility Name KROGER PHARMACY #515
Street 9351 ATLEE DRIVE
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 569-8241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Pharmacy
Lab Director ANNE HARRISON

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