45D1080377 CLIA NUMBER - KROGER PHARMACY 318

Laboratory Demographics

  • CLIA Code: 45D1080377
  • Facility Name: KROGER PHARMACY 318
  • Facility Address: 19300 LAKE HOUSTON PKWY
    HUMBLE, TX
    ZIP 77346
  • Facility Phone: 281 812-4499
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: KRIS DESORMEASUX
  • NPI Number: 1790858314
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Industrial
Lab Director KRIS DESORMEASUX

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: 3/20/2025