18D1077162 CLIA NUMBER - KROGER PHARMACY #364

Laboratory Demographics

  • CLIA Code: 18D1077162
  • Facility Name: KROGER PHARMACY #364
  • Facility Address: 9950 BERBERICH DRIVE
    FLORENCE, KY
    ZIP 41042
  • Facility Phone: 513 782-3384
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MS. MICHELLE IZOR
  • NPI Number: 1326072125
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1077162
LAB Type Other
Facility Name KROGER PHARMACY #364
Street 9950 BERBERICH DRIVE
City FLORENCE
State KY
ZIP 41042
Phone 513 782-3384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Other
Lab Director MS. MICHELLE IZOR

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