18D2310993 CLIA NUMBER - KROGER PHARMACY #024-502

Laboratory Demographics

  • CLIA Code: 18D2310993
  • Facility Name: KROGER PHARMACY #024-502
  • Facility Address: 10010 BALLARDSVILLE RD
    LOUISVILLE, KY
    ZIP 40241
  • Facility Phone: 502 357-3505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PHELI ROBERTS
  • NPI Number: 1093749814
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2310993
LAB Type Pharmacy
Facility Name KROGER PHARMACY #024-502
Street 10010 BALLARDSVILLE RD
City LOUISVILLE
State KY
ZIP 40241
Phone 502 357-3505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Pharmacy
Lab Director MS. PHELI ROBERTS

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