18D1095498 CLIA NUMBER - KROGER PHARMACY L-409

Laboratory Demographics

  • CLIA Code: 18D1095498
  • Facility Name: KROGER PHARMACY L-409
  • Facility Address: 1730 WEST HIGHWAY 192
    LONDON, KY
    ZIP 40741
  • Facility Phone: (606) 878-1568
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS

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CLIA Record

Field Name Field Value
CLIA Number 18D1095498
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-409
Street 1730 WEST HIGHWAY 192
City LONDON
State KY
ZIP 40741
Phone 6068781568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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