18D2000234 CLIA NUMBER - KROGER PHARMACY L-710

Laboratory Demographics

  • CLIA Code: 18D2000234
  • Facility Name: KROGER PHARMACY L-710
  • Facility Address: 2549 HIGHWAY 227
    CARROLLTON, KY
    ZIP 41008
  • Facility Phone: 502 732-5008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1972537793
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2000234
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-710
Street 2549 HIGHWAY 227
City CARROLLTON
State KY
ZIP 41008
Phone 502 732-5008
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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