49D2152233 CLIA NUMBER - KROGER PHARMACY #029-572

Laboratory Demographics

  • CLIA Code: 49D2152233
  • Facility Name: KROGER PHARMACY #029-572
  • Facility Address: 309 S BATTLEFIELD BLVD
    CHESAPEAKE, VA
    ZIP 23322
  • Facility Phone: 757 482-4368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA LEWIS
  • NPI Number: 1003312034
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2152233
LAB Type Pharmacy
Facility Name KROGER PHARMACY #029-572
Street 309 S BATTLEFIELD BLVD
City CHESAPEAKE
State VA
ZIP 23322
Phone 757 482-4368
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