49D1093737 CLIA NUMBER - KROGER PHARMACY #364

Laboratory Demographics

  • CLIA Code: 49D1093737
  • Facility Name: KROGER PHARMACY #364
  • Facility Address: 72 KINGSTON DRIVE
    DALEVILLE, VA
    ZIP 24083
  • Facility Phone: 540 992-1291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1154355923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1093737
LAB Type Pharmacy
Facility Name KROGER PHARMACY #364
Street 72 KINGSTON DRIVE
City DALEVILLE
State VA
ZIP 24083
Phone 540 992-1291
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 JAMIE REMINES

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