45D1062082 CLIA NUMBER - KROGER PHARMACY 544

Laboratory Demographics

  • CLIA Code: 45D1062082
  • Facility Name: KROGER PHARMACY 544
  • Facility Address: 1212 E BETHANY DRIVE
    ALLEN, TX
    ZIP 75002
  • Facility Phone: 972 727-9395
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETH HENKE
  • NPI Number: 1972676492
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1062082
LAB Type Pharmacy
Facility Name KROGER PHARMACY 544
Street 1212 E BETHANY DRIVE
City ALLEN
State TX
ZIP 75002
Phone 972 727-9395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Pharmacy
Lab Director BETH HENKE

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