45D1057931 CLIA NUMBER - KROGER PHARMACY 375

Laboratory Demographics

  • CLIA Code: 45D1057931
  • Facility Name: KROGER PHARMACY 375
  • Facility Address: 11565 STATE HWY 6 SOUTH
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 281 340-1504
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROL A. HANCE
  • NPI Number: 1972676294
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057931
LAB Type Pharmacy
Facility Name KROGER PHARMACY 375
Street 11565 STATE HWY 6 SOUTH
City SUGAR LAND
State TX
ZIP 77478
Phone 281 340-1504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director CAROL A. HANCE

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