18D1001277 CLIA NUMBER - KROGER PHARMACY L-309

Laboratory Demographics

  • CLIA Code: 18D1001277
  • Facility Name: KROGER PHARMACY L-309
  • Facility Address: 9812 LINN STATION ROAD
    LOUISVILLE, KY
    ZIP 40223
  • Facility Phone: (502) 327-0456
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1205860020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1001277
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-309
Street 9812 LINN STATION ROAD
City LOUISVILLE
State KY
ZIP 40223
Phone 5023270456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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This page was last updated on: 5/18/2026