18D1077937 CLIA NUMBER - KROGER PHARMACY L-356

Laboratory Demographics

  • CLIA Code: 18D1077937
  • Facility Name: KROGER PHARMACY L-356
  • Facility Address: 12501 SHELBYVILLE ROAD
    MIDDLETOWN, KY
    ZIP 40243
  • Facility Phone: (502) 244-7960
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS

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CLIA Record

Field Name Field Value
CLIA Number 18D1077937
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-356
Street 12501 SHELBYVILLE ROAD
City MIDDLETOWN
State KY
ZIP 40243
Phone 5022447960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2025
Certificate Expiration Date 12/20/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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