49D2089317 CLIA NUMBER - KROGER PHARMACY #554

Laboratory Demographics

  • CLIA Code: 49D2089317
  • Facility Name: KROGER PHARMACY #554
  • Facility Address: 1017 UNIVERSITY BOULEVARD ATTN PHARMACIST IN CHARGE
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 335-4537
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE HARRISON
  • NPI Number: 1376944157
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2089317
LAB Type Pharmacy
Facility Name KROGER PHARMACY #554
Street 1017 UNIVERSITY BOULEVARD ATTN PHARMACIST IN CHARGE
City SUFFOLK
State VA
ZIP 23435
Phone 757 335-4537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Pharmacy
Lab Director ANNE HARRISON

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