45D1082372 CLIA NUMBER - KROGER PHARMACY 577

Laboratory Demographics

  • CLIA Code: 45D1082372
  • Facility Name: KROGER PHARMACY 577
  • Facility Address: 7505 N MACARTHUR BLVD
    IRVING, TX
    ZIP 75063
  • Facility Phone: 972 373-8158
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: RALPH WINSTON,JR
  • NPI Number: 1780757203
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1082372
LAB Type Industrial
Facility Name KROGER PHARMACY 577
Street 7505 N MACARTHUR BLVD
City IRVING
State TX
ZIP 75063
Phone 972 373-8158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Industrial
Lab Director RALPH WINSTON,JR

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