18D1093944 CLIA NUMBER - KROGER PHARMACY L-708

Laboratory Demographics

  • CLIA Code: 18D1093944
  • Facility Name: KROGER PHARMACY L-708
  • Facility Address: 170 BELLERIRE BLVD
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: 859 219-2148
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1326072026
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1093944
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-708
Street 170 BELLERIRE BLVD
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 219-2148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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This page was last updated on: 6/4/2025