49D2028054 CLIA NUMBER - KROGER PHARMACY # 504

Laboratory Demographics

  • CLIA Code: 49D2028054
  • Facility Name: KROGER PHARMACY # 504
  • Facility Address: 3507 W CARY STREET
    RICHMOND, VA
    ZIP 23221
  • Facility Phone: 804 254-6400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1134425143
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2028054
LAB Type Pharmacy
Facility Name KROGER PHARMACY # 504
Street 3507 W CARY STREET
City RICHMOND
State VA
ZIP 23221
Phone 804 254-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Pharmacy
Lab Director ANNE HARRISON

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