18D1058594 CLIA NUMBER - KROGER PHARMACY #25-435

Laboratory Demographics

  • CLIA Code: 18D1058594
  • Facility Name: KROGER PHARMACY #25-435
  • Facility Address: 808 NORTH 12TH STREET
    MURRAY, KY
    ZIP 42071
  • Facility Phone: 270 759-1288
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINDY FISHER
  • NPI Number: 1083648802
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1058594
LAB Type Pharmacy
Facility Name KROGER PHARMACY #25-435
Street 808 NORTH 12TH STREET
City MURRAY
State KY
ZIP 42071
Phone 270 759-1288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Pharmacy
Lab Director CINDY FISHER

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