18D1012005 CLIA NUMBER - KROGER PHARMACY L-734

Laboratory Demographics

  • CLIA Code: 18D1012005
  • Facility Name: KROGER PHARMACY L-734
  • Facility Address: 300 KROGER CENTER
    MOREHEAD, KY
    ZIP 40351
  • Facility Phone: 606 783-1476
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1427082262
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1012005
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-734
Street 300 KROGER CENTER
City MOREHEAD
State KY
ZIP 40351
Phone 606 783-1476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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