45D1057151 CLIA NUMBER - KROGER PHARMACY 349

Laboratory Demographics

  • CLIA Code: 45D1057151
  • Facility Name: KROGER PHARMACY 349
  • Facility Address: 1520 ELDRIDGE
    HOUSTON, TX
    ZIP 77077
  • Facility Phone: 281 496-7719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANH THAI
  • NPI Number: 1053484576
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057151
LAB Type Pharmacy
Facility Name KROGER PHARMACY 349
Street 1520 ELDRIDGE
City HOUSTON
State TX
ZIP 77077
Phone 281 496-7719
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 ANH THAI

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