45D1058143 CLIA NUMBER - KROGER PHARMACY #035-698

Laboratory Demographics

  • CLIA Code: 45D1058143
  • Facility Name: KROGER PHARMACY #035-698
  • Facility Address: 9617 COIT ROAD
    PLANO, TX
    ZIP 75025
  • Facility Phone: 214 705-9097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1114090644
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1058143
LAB Type Pharmacy
Facility Name KROGER PHARMACY #035-698
Street 9617 COIT ROAD
City PLANO
State TX
ZIP 75025
Phone 214 705-9097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Pharmacy
Lab Director JEFF LOESCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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