18D2000228 CLIA NUMBER - KROGER PHARMACY L-397

Laboratory Demographics

  • CLIA Code: 18D2000228
  • Facility Name: KROGER PHARMACY L-397
  • Facility Address: 300 BRIGHTON PARK
    FRANKFORT, KY
    ZIP 40601
  • Facility Phone: 502 695-0918
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1548285323
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2000228
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-397
Street 300 BRIGHTON PARK
City FRANKFORT
State KY
ZIP 40601
Phone 502 695-0918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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This page was last updated on: 9/29/2025