18D2137889 CLIA NUMBER - KROGER PHARMACY 014381

Laboratory Demographics

  • CLIA Code: 18D2137889
  • Facility Name: KROGER PHARMACY 014381
  • Facility Address: 1525 MADISON AVENUE
    COVINGTON, KY
    ZIP 41011
  • Facility Phone: 859 431-5566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MICHELLE IZOR
  • NPI Number: 1851325674
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2137889
LAB Type Pharmacy
Facility Name KROGER PHARMACY 014381
Street 1525 MADISON AVENUE
City COVINGTON
State KY
ZIP 41011
Phone 859 431-5566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director MS. MICHELLE IZOR

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This page was last updated on: 9/29/2025