45D1057174 CLIA NUMBER - KROGER PHARMACY 488

Laboratory Demographics

  • CLIA Code: 45D1057174
  • Facility Name: KROGER PHARMACY 488
  • Facility Address: 1707 W UNIVERSITY
    MCKINNEY, TX
    ZIP 75069
  • Facility Phone: (972) 548-9633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH L. VESELKA
  • NPI Number: 1831262443
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057174
LAB Type Pharmacy
Facility Name KROGER PHARMACY 488
Street 1707 W UNIVERSITY
City MCKINNEY
State TX
ZIP 75069
Phone 9725489633
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 DEBORAH L. VESELKA

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This page was last updated on: 5/18/2026