18D2000826 CLIA NUMBER - KROGER PHARMACY L-730

Laboratory Demographics

  • CLIA Code: 18D2000826
  • Facility Name: KROGER PHARMACY L-730
  • Facility Address: 705 EAST MAIN STREET
    LEBANON, KY
    ZIP 40033
  • Facility Phone: (270) 692-2123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELIRISIMA ROBERTS

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CLIA Record

Field Name Field Value
CLIA Number 18D2000826
LAB Type Pharmacy
Facility Name KROGER PHARMACY L-730
Street 705 EAST MAIN STREET
City LEBANON
State KY
ZIP 40033
Phone 2706922123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2025
Certificate Expiration Date 12/6/2027
Facility Type Pharmacy
Lab Director MS. PHELIRISIMA ROBERTS

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This page was last updated on: 5/18/2026