23D2077027 CLIA NUMBER - KROGER CO OF MICHIGAN, THE

Laboratory Demographics

CLIA Number: 23D2077027

Facility Name: KROGER CO OF MICHIGAN, THE

Facility Address:
43893 SCHOENHERR ROAD KROGER PHARMACY 018-449 ATTN PHARMACIST IN CHARGE
STERLING HEIGHTS, MI
ZIP 48313
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Facility Phone Number: 586 685-1346

Facility Type: Other - RETAIL PHARMACY

Certificate Type: Waiver

NPI Number: 1871793554

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 23D2077027
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER CO OF MICHIGAN, THE
Street 43893 SCHOENHERR ROAD KROGER PHARMACY 018-449 ATTN PHARMACIST IN CHARGE
City STERLING HEIGHTS
State MI
ZIP 48313
Phone 586 685-1346
CertificateType 4
CertificateEffectiveDate 4/30/2024
CertificateExpirationDate 4/29/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024