18D2000424 CLIA NUMBER - KROGER PHARMACY L-768

Laboratory Demographics

CLIA Number: 18D2000424

Facility Name: KROGER PHARMACY L-768

Facility Address:
1600 LEESTOWN RD STE 150
LEXINGTON, KY
ZIP 40511
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Facility Phone Number: 859 259-0965

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023136108

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 18D2000424
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-768
Street 1600 LEESTOWN RD STE 150
City LEXINGTON
State KY
ZIP 40511
Phone 859 259-0965
CertificateType 4
CertificateEffectiveDate 12/1/2023
CertificateExpirationDate 11/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024