45D1068688 CLIA NUMBER - KROGER PHARMACY 844

Laboratory Demographics

  • CLIA Code: 45D1068688
  • Facility Name: KROGER PHARMACY 844
  • Facility Address: 708 E PIPELINE
    HURST, TX
    ZIP 76053
  • Facility Phone: 817 285-8851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLEN BERRY
  • NPI Number: 1851464374
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1068688
LAB Type Pharmacy
Facility Name KROGER PHARMACY 844
Street 708 E PIPELINE
City HURST
State TX
ZIP 76053
Phone 817 285-8851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director ALLEN BERRY

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This page was last updated on: 6/4/2025