45D1063797 CLIA NUMBER - KROGER PHARMACY 322

Laboratory Demographics

  • CLIA Code: 45D1063797
  • Facility Name: KROGER PHARMACY 322
  • Facility Address: 6767 SPENCER HWY
    PASADENA, TX
    ZIP 77505
  • Facility Phone: 281 998-7755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEE MERRIWEATHER
  • NPI Number: 1003989534
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1063797
LAB Type Pharmacy
Facility Name KROGER PHARMACY 322
Street 6767 SPENCER HWY
City PASADENA
State TX
ZIP 77505
Phone 281 998-7755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Pharmacy
Lab Director LEE MERRIWEATHER

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