18D2000587 CLIA NUMBER - KROGER PHARMACY 739

Home > CLIA Lookup > 18D2000587

Laboratory Demographics

CLIA Number: 18D2000587

Facility Name: KROGER PHARMACY 739

Facility Address:
12450 LAGRANGE ROAD
LOUISVILLE, KY
ZIP 40245
Get Directions

Facility Phone Number: 502 241-6770

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053345819

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	18D2000587
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY 739
Street	12450 LAGRANGE ROAD
City	LOUISVILLE
State	KY
ZIP	40245
Phone	502 241-6770
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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