18D2000725 CLIA NUMBER - KROGER PHARMACY #774

Laboratory Demographics

  • CLIA Code: 18D2000725
  • Facility Name: KROGER PHARMACY #774
  • Facility Address: 212 KROGER WAY
    VERSAILLES, KY
    ZIP 40383
  • Facility Phone: (859) 873-1324
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS

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CLIA Record

Field Name Field Value
CLIA Number 18D2000725
LAB Type Pharmacy
Facility Name KROGER PHARMACY #774
Street 212 KROGER WAY
City VERSAILLES
State KY
ZIP 40383
Phone 8598731324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2026
Certificate Expiration Date 5/1/2028
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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This page was last updated on: 6/29/2026