49D2152231 CLIA NUMBER - KROGER PHARMACY #029-575

Laboratory Demographics

  • CLIA Code: 49D2152231
  • Facility Name: KROGER PHARMACY #029-575
  • Facility Address: 1282 SMITHFIELD PLAZA
    SMITHFIELD, VA
    ZIP 23430
  • Facility Phone: 757 357-0178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA LEWIS
  • NPI Number: 1215433271
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2152231
LAB Type Pharmacy
Facility Name KROGER PHARMACY #029-575
Street 1282 SMITHFIELD PLAZA
City SMITHFIELD
State VA
ZIP 23430
Phone 757 357-0178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Pharmacy
Lab Director JESSICA LEWIS

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