18D2000578 CLIA NUMBER - KROGER PHARMACY 913

Laboratory Demographics

  • CLIA Code: 18D2000578
  • Facility Name: KROGER PHARMACY 913
  • Facility Address: 1300 ANDERSON CROSSING DRIVE
    LAWRENCEBURG, KY
    ZIP 40342
  • Facility Phone: 502 859-1772
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1760416523
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2000578
LAB Type Pharmacy
Facility Name KROGER PHARMACY 913
Street 1300 ANDERSON CROSSING DRIVE
City LAWRENCEBURG
State KY
ZIP 40342
Phone 502 859-1772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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