45D1057182 CLIA NUMBER - KROGER PHARMACY 567

Laboratory Demographics

  • CLIA Code: 45D1057182
  • Facility Name: KROGER PHARMACY 567
  • Facility Address: 2901 SOUTH LAKE FOREST DRIVE
    MCKINNEY, TX
    ZIP 75070
  • Facility Phone: 972 540-1172
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY GARAKANI
  • NPI Number: 1881767408
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057182
LAB Type Pharmacy
Facility Name KROGER PHARMACY 567
Street 2901 SOUTH LAKE FOREST DRIVE
City MCKINNEY
State TX
ZIP 75070
Phone 972 540-1172
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 TONY GARAKANI

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