25D1021853 CLIA NUMBER - KROGER PHARMACY #473

Laboratory Demographics

  • CLIA Code: 25D1021853
  • Facility Name: KROGER PHARMACY #473
  • Facility Address: 2013 UNIVERSITY AVENUE
    OXFORD, MS
    ZIP 38655
  • Facility Phone: 662 236-6811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYNTHIA B. FISHER
  • NPI Number: 1659305431
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D1021853
LAB Type Pharmacy
Facility Name KROGER PHARMACY #473
Street 2013 UNIVERSITY AVENUE
City OXFORD
State MS
ZIP 38655
Phone 662 236-6811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Pharmacy
Lab Director CYNTHIA B. FISHER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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