49D2004433 CLIA NUMBER - KROGER PHARMACY

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Laboratory Demographics

CLIA Number: 49D2004433

Facility Name: KROGER PHARMACY

Facility Address:
1790 EAST MARKET STREET
HARRISONBURG, VA
ZIP 22801
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Facility Phone Number: 540 432-1131

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942234687

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	49D2004433
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY
Street	1790 EAST MARKET STREET
City	HARRISONBURG
State	VA
ZIP	22801
Phone	540 432-1131
CertificateType	4
CertificateEffectiveDate	3/4/2024
CertificateExpirationDate	3/3/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024