23D2044457 CLIA NUMBER - THE KROGER CO OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D2044457
  • Facility Name: THE KROGER CO OF MICHIGAN
  • Facility Address: 2641 PLYMOUTH RD KROGER PHARMACY 018-605 ATTN PHARMACIST IN CHARGE
    ANN ARBOR, MI
    ZIP 48105
  • Facility Phone: 734 994-0180
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: ROBERT BROWN
  • NPI Number: 1487485959
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 23D2044457
LAB Type Other - RETAIL PHARMACY
Facility Name THE KROGER CO OF MICHIGAN
Street 2641 PLYMOUTH RD KROGER PHARMACY 018-605 ATTN PHARMACIST IN CHARGE
City ANN ARBOR
State MI
ZIP 48105
Phone 734 994-0180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Other - RETAIL PHARMACY
Lab Director ROBERT BROWN

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