45D1057968 CLIA NUMBER - KROGER PHARMACY 695

Laboratory Demographics

  • CLIA Code: 45D1057968
  • Facility Name: KROGER PHARMACY 695
  • Facility Address: 5701 W PLEASANT RIDGE ROAD
    ARLINGTON, TX
    ZIP 76016
  • Facility Phone: 817 483-0354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY LAUBER
  • NPI Number: 1740353275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1057968
LAB Type Pharmacy
Facility Name KROGER PHARMACY 695
Street 5701 W PLEASANT RIDGE ROAD
City ARLINGTON
State TX
ZIP 76016
Phone 817 483-0354
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 STACEY LAUBER

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