45D1067448 CLIA NUMBER - KROGER PHARMACY 346

Laboratory Demographics

  • CLIA Code: 45D1067448
  • Facility Name: KROGER PHARMACY 346
  • Facility Address: 1505 WIRT
    HOUSTON, TX
    ZIP 77055
  • Facility Phone: 713 722-7282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOMMY HO
  • NPI Number: 1467525998
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1067448
LAB Type Pharmacy
Facility Name KROGER PHARMACY 346
Street 1505 WIRT
City HOUSTON
State TX
ZIP 77055
Phone 713 722-7282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director TOMMY HO

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