45D1067625 CLIA NUMBER - KROGER PHARMACY 538

Laboratory Demographics

  • CLIA Code: 45D1067625
  • Facility Name: KROGER PHARMACY 538
  • Facility Address: 2350 SOUTHEAST GREEN OAKS
    ARLINGTON, TX
    ZIP 76018
  • Facility Phone: 817 419-0312
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAIGE GOODE
  • NPI Number: 1649343955
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1067625
LAB Type Pharmacy
Facility Name KROGER PHARMACY 538
Street 2350 SOUTHEAST GREEN OAKS
City ARLINGTON
State TX
ZIP 76018
Phone 817 419-0312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director PAIGE GOODE

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