18D2040423 CLIA NUMBER - KROGER PHARMACY #454

Laboratory Demographics

  • CLIA Code: 18D2040423
  • Facility Name: KROGER PHARMACY #454
  • Facility Address: 9001 US HIGHWAY 42
    UNION, KY
    ZIP 41091
  • Facility Phone: (859) 384-7936
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: MR. RYAN DAVIS
  • NPI Number: 1245264068
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2040423
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #454
Street 9001 US HIGHWAY 42
City UNION
State KY
ZIP 41091
Phone 8593847936
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2026
Certificate Expiration Date 4/29/2028
Facility Type Other - RETAIL PHARMACY
Lab Director MR. RYAN DAVIS

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: 5/15/2026