18D1107689 CLIA NUMBER - KROGER PHARMACY L-292

Laboratory Demographics

  • CLIA Code: 18D1107689
  • Facility Name: KROGER PHARMACY L-292
  • Facility Address: 7509 TERRY ROAD
    LOUISVILLE, KY
    ZIP 40258
  • Facility Phone: (502) 935-5531
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1093749814
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1107689
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-292
Street 7509 TERRY ROAD
City LOUISVILLE
State KY
ZIP 40258
Phone 5029355531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2025
Certificate Expiration Date 11/11/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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