49D2003744 CLIA NUMBER - KROGER PHARMACY - 320

Laboratory Demographics

  • CLIA Code: 49D2003744
  • Facility Name: KROGER PHARMACY - 320
  • Facility Address: 1925 ELECTRIC ROAD
    SALEM, VA
    ZIP 24153
  • Facility Phone: 540 387-1088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1447284211
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2003744
LAB Type Pharmacy
Facility Name KROGER PHARMACY - 320
Street 1925 ELECTRIC ROAD
City SALEM
State VA
ZIP 24153
Phone 540 387-1088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Pharmacy
Lab Director JAMIE REMINES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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