18D1040399 CLIA NUMBER - KROGER PHARMACY L-407

Laboratory Demographics

CLIA Number: 18D1040399

Facility Name: KROGER PHARMACY L-407

Facility Address:
3101 RICHMOND ROAD
LEXINGTON, KY
ZIP 40509
Get Directions

Facility Phone Number: 859 269-4637

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174557995

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	18D1040399
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY L-407
Street	3101 RICHMOND ROAD
City	LEXINGTON
State	KY
ZIP	40509
Phone	859 269-4637
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024