45D1080377 CLIA NUMBER - KROGER PHARMACY 318

Laboratory Demographics

CLIA Number: 45D1080377

Facility Name: KROGER PHARMACY 318

Facility Address:
19300 LAKE HOUSTON PKWY
HUMBLE, TX
ZIP 77346
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Facility Phone Number: 281 812-4499

Facility Type: Industrial

Certificate Type: Waiver

NPI Number: 1790858314

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D1080377
LAB Type	Industrial
Facility Name	KROGER PHARMACY 318
Street	19300 LAKE HOUSTON PKWY
City	HUMBLE
State	TX
ZIP	77346
Phone	281 812-4499
CertificateType	4
CertificateEffectiveDate	2/21/2024
CertificateExpirationDate	2/20/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024