18D1049754 CLIA NUMBER - KROGER PHARMACY #014-410

Laboratory Demographics

  • CLIA Code: 18D1049754
  • Facility Name: KROGER PHARMACY #014-410
  • Facility Address: 375 CROSSROADS BOULEVARD
    COLD SPRING, KY
    ZIP 41076
  • Facility Phone: (859) 572-4920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MICHELLE IZOR
  • NPI Number: 1558386250
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1049754
LAB Type Pharmacy
Facility Name KROGER PHARMACY #014-410
Street 375 CROSSROADS BOULEVARD
City COLD SPRING
State KY
ZIP 41076
Phone 8595724920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2026
Certificate Expiration Date 1/16/2028
Facility Type Pharmacy
Lab Director MS. MICHELLE IZOR

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