45D1057146 CLIA NUMBER - KROGER PHARMACY 300

Laboratory Demographics

  • CLIA Code: 45D1057146
  • Facility Name: KROGER PHARMACY 300
  • Facility Address: 1950 EL DORADO
    HOUSTON, TX
    ZIP 77062
  • Facility Phone: 281 480-7092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA KENNEDY
  • NPI Number: 1699848119
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057146
LAB Type Pharmacy
Facility Name KROGER PHARMACY 300
Street 1950 EL DORADO
City HOUSTON
State TX
ZIP 77062
Phone 281 480-7092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Pharmacy
Lab Director AMANDA KENNEDY

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