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45D1063796 CLIA NUMBER - KROGER PHARMACY 331

Laboratory Demographics

CLIA Number: 45D1063796

Facility Name: KROGER PHARMACY 331

Facility Address:
12620 WOODFOREST #200
HOUSTON, TX
ZIP 77015
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Facility Phone Number: 713 451-8184

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1881767309

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D1063796
LAB Type Pharmacy
Facility Name KROGER PHARMACY 331
Street 12620 WOODFOREST #200
City HOUSTON
State TX
ZIP 77015
Phone 713 451-8184
CertificateType 4
CertificateEffectiveDate 1/23/2023
CertificateExpirationDate 1/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024