45D1057168 CLIA NUMBER - KROGER PHARMACY 436

Laboratory Demographics

  • CLIA Code: 45D1057168
  • Facility Name: KROGER PHARMACY 436
  • Facility Address: 235 E FM 1382
    CEDAR HILL, TX
    ZIP 75104
  • Facility Phone: 972 291-0224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CECIL L. NASH
  • NPI Number: 1104999721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057168
LAB Type Pharmacy
Facility Name KROGER PHARMACY 436
Street 235 E FM 1382
City CEDAR HILL
State TX
ZIP 75104
Phone 972 291-0224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Pharmacy
Lab Director CECIL L. NASH

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