45D1080562 CLIA NUMBER - KROGER PHARMACY 957

Laboratory Demographics

  • CLIA Code: 45D1080562
  • Facility Name: KROGER PHARMACY 957
  • Facility Address: 1310 CLARKSVILLE ROAD
    PARIS, TX
    ZIP 75460
  • Facility Phone: 903 785-1922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1720151251
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1080562
LAB Type Pharmacy
Facility Name KROGER PHARMACY 957
Street 1310 CLARKSVILLE ROAD
City PARIS
State TX
ZIP 75460
Phone 903 785-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director JEFF LOESCH

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