18D2000726 CLIA NUMBER - KROGER PHARMACY L-366

Laboratory Demographics

  • CLIA Code: 18D2000726
  • Facility Name: KROGER PHARMACY L-366
  • Facility Address: 5001 MUD LANE
    LOUISVILLE, KY
    ZIP 40229
  • Facility Phone: 502 962-8022
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS
  • NPI Number: 1982638706
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2000726
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-366
Street 5001 MUD LANE
City LOUISVILLE
State KY
ZIP 40229
Phone 502 962-8022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
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