49D1093845 CLIA NUMBER - KROGER PHARMACY #335

Laboratory Demographics

  • CLIA Code: 49D1093845
  • Facility Name: KROGER PHARMACY #335
  • Facility Address: 31 MIDWAY STREET
    BRISTOL, VA
    ZIP 24201
  • Facility Phone: 276 642-0032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1245264019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1093845
LAB Type Pharmacy
Facility Name KROGER PHARMACY #335
Street 31 MIDWAY STREET
City BRISTOL
State VA
ZIP 24201
Phone 276 642-0032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director JAMIE REMINES

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This page was last updated on: 6/4/2025