45D1075146 CLIA NUMBER - KROGER PHARMACY 357

Laboratory Demographics

  • CLIA Code: 45D1075146
  • Facility Name: KROGER PHARMACY 357
  • Facility Address: 2222 I-45 N
    CONROE, TX
    ZIP 77301
  • Facility Phone: 936 441-7379
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAERE IKEMI
  • NPI Number: 1144393661
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1075146
LAB Type Pharmacy
Facility Name KROGER PHARMACY 357
Street 2222 I-45 N
City CONROE
State TX
ZIP 77301
Phone 936 441-7379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director ALAERE IKEMI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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