18D1001280 CLIA NUMBER - KROGER PHARMACY L-352

Laboratory Demographics

  • CLIA Code: 18D1001280
  • Facility Name: KROGER PHARMACY L-352
  • Facility Address: 150 W LOWRY LANE STE 190
    LEXINGTON, KY
    ZIP 40503
  • Facility Phone: 859 276-2460
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: MS. PHELICISIMA ROBERTS
  • NPI Number: 1932133758
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1001280
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY L-352
Street 150 W LOWRY LANE STE 190
City LEXINGTON
State KY
ZIP 40503
Phone 859 276-2460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Other - PHARMACY
Lab Director MS. PHELICISIMA ROBERTS

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