18D1093946 CLIA NUMBER - KROGER PHARMACY #745

Laboratory Demographics

  • CLIA Code: 18D1093946
  • Facility Name: KROGER PHARMACY #745
  • Facility Address: 50 STONEGATE CENTER
    SOMERSET, KY
    ZIP 42501
  • Facility Phone: 606 678-4012
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1295769016
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1093946
LAB Type Pharmacy
Facility Name KROGER PHARMACY #745
Street 50 STONEGATE CENTER
City SOMERSET
State KY
ZIP 42501
Phone 606 678-4012
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: 9/29/2025