45D1067678 CLIA NUMBER - KROGER PHARMACY 824

Laboratory Demographics

  • CLIA Code: 45D1067678
  • Facility Name: KROGER PHARMACY 824
  • Facility Address: 1820 LOY LAKE ROAD
    SHERMAN, TX
    ZIP 75090
  • Facility Phone: 903 868-1565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1427121045
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1067678
LAB Type Pharmacy
Facility Name KROGER PHARMACY 824
Street 1820 LOY LAKE ROAD
City SHERMAN
State TX
ZIP 75090
Phone 903 868-1565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Pharmacy
Lab Director JEFF LOESCH

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