45D1057967 CLIA NUMBER - KROGER PHARMACY 546

Laboratory Demographics

  • CLIA Code: 45D1057967
  • Facility Name: KROGER PHARMACY 546
  • Facility Address: 4851 LEGACY DRIVE
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 377-0251
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN TRUONG
  • NPI Number: 1679646103
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057967
LAB Type Pharmacy
Facility Name KROGER PHARMACY 546
Street 4851 LEGACY DRIVE
City FRISCO
State TX
ZIP 75034
Phone 972 377-0251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Pharmacy
Lab Director DAN TRUONG

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