45D1057172 CLIA NUMBER - KROGER PHARMACY 461

Laboratory Demographics

  • CLIA Code: 45D1057172
  • Facility Name: KROGER PHARMACY 461
  • Facility Address: 5190 HIGHWAY 78
    SACHSE, TX
    ZIP 75048
  • Facility Phone: 972 675-1066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNG T. DANG
  • NPI Number: 1942373477
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057172
LAB Type Pharmacy
Facility Name KROGER PHARMACY 461
Street 5190 HIGHWAY 78
City SACHSE
State TX
ZIP 75048
Phone 972 675-1066
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 HUNG T. DANG

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