18D2000729 CLIA NUMBER - KROGER PHARMACY L-363

Laboratory Demographics

  • CLIA Code: 18D2000729
  • Facility Name: KROGER PHARMACY L-363
  • Facility Address: 844 SOUTH COLLEGE STREET
    HARRODSBURG, KY
    ZIP 40330
  • Facility Phone: 859 734-0081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELICISIMA ROBERTS
  • NPI Number: 1568496388
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2000729
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-363
Street 844 SOUTH COLLEGE STREET
City HARRODSBURG
State KY
ZIP 40330
Phone 859 734-0081
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. PHELICISIMA ROBERTS

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This page was last updated on: 6/4/2025