45D1063799 CLIA NUMBER - KROGER PHARMACY 310

Laboratory Demographics

  • CLIA Code: 45D1063799
  • Facility Name: KROGER PHARMACY 310
  • Facility Address: 3410 NORTH PARK DR
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 281 361-7404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEIGH LITTEER
  • NPI Number: 1124460472
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1063799
LAB Type Pharmacy
Facility Name KROGER PHARMACY 310
Street 3410 NORTH PARK DR
City KINGWOOD
State TX
ZIP 77339
Phone 281 361-7404
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 LEIGH LITTEER

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