49D2114851 CLIA NUMBER - KROGER PHARMACY #557

Laboratory Demographics

  • CLIA Code: 49D2114851
  • Facility Name: KROGER PHARMACY #557
  • Facility Address: 1753 SENTINEL DRIVE
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 389-7327
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KOON
  • NPI Number: 1205295805
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2114851
LAB Type Pharmacy
Facility Name KROGER PHARMACY #557
Street 1753 SENTINEL DRIVE
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 389-7327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Pharmacy
Lab Director CHRIS KOON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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