49D2003746 CLIA NUMBER - KROGER PHARMACY - 322

Laboratory Demographics

  • CLIA Code: 49D2003746
  • Facility Name: KROGER PHARMACY - 322
  • Facility Address: 915 HARDY ROAD LAKE DRIVE PLAZA
    VINTON, VA
    ZIP 24179
  • Facility Phone: 540 344-1215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE REMINES
  • NPI Number: 1851325591
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2003746
LAB Type Pharmacy
Facility Name KROGER PHARMACY - 322
Street 915 HARDY ROAD LAKE DRIVE PLAZA
City VINTON
State VA
ZIP 24179
Phone 540 344-1215
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

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