49D2112984 CLIA NUMBER - KROGER PHARMACY #406

Laboratory Demographics

  • CLIA Code: 49D2112984
  • Facility Name: KROGER PHARMACY #406
  • Facility Address: 7789 RICHMOND HIGHWAY
    APPOMATTOX, VA
    ZIP 24522
  • Facility Phone: 540 563-3593
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA BROOKHART
  • NPI Number: 1326072190
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2112984
LAB Type Pharmacy
Facility Name KROGER PHARMACY #406
Street 7789 RICHMOND HIGHWAY
City APPOMATTOX
State VA
ZIP 24522
Phone 540 563-3593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director ANDREA BROOKHART

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