45D1081269 CLIA NUMBER - KROGER PHARMACY 344

Laboratory Demographics

  • CLIA Code: 45D1081269
  • Facility Name: KROGER PHARMACY 344
  • Facility Address: 1920 W LEAGUE CITY PARKWAY
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 281 672-6089
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY T. DANG
  • NPI Number: 1770656290
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1081269
LAB Type Pharmacy
Facility Name KROGER PHARMACY 344
Street 1920 W LEAGUE CITY PARKWAY
City LEAGUE CITY
State TX
ZIP 77573
Phone 281 672-6089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Pharmacy
Lab Director TIFFANY T. DANG

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