25D1021500 CLIA NUMBER - KROGER PHARMACY #381

Laboratory Demographics

  • CLIA Code: 25D1021500
  • Facility Name: KROGER PHARMACY #381
  • Facility Address: 826 HWY 12 WEST
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 324-8053
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINDY FISHER
  • NPI Number: 1174557953
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D1021500
LAB Type Pharmacy
Facility Name KROGER PHARMACY #381
Street 826 HWY 12 WEST
City STARKVILLE
State MS
ZIP 39759
Phone 662 324-8053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Pharmacy
Lab Director CINDY FISHER

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