45D1068284 CLIA NUMBER - KROGER PHARMACY 526

Laboratory Demographics

  • CLIA Code: 45D1068284
  • Facility Name: KROGER PHARMACY 526
  • Facility Address: 536 CENTENNIAL BLVD
    RICHARDSON, TX
    ZIP 75081
  • Facility Phone: 972 437-2478
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1891868410
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1068284
LAB Type Pharmacy
Facility Name KROGER PHARMACY 526
Street 536 CENTENNIAL BLVD
City RICHARDSON
State TX
ZIP 75081
Phone 972 437-2478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director JEFF LOESCH

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