45D1082377 CLIA NUMBER - KROGER PHARMACY 581

Laboratory Demographics

  • CLIA Code: 45D1082377
  • Facility Name: KROGER PHARMACY 581
  • Facility Address: 2925 CUSTER ROAD
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 612-1864
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: ALESHA ERICKSON
  • NPI Number: 1861565384
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082377
LAB Type Industrial
Facility Name KROGER PHARMACY 581
Street 2925 CUSTER ROAD
City PLANO
State TX
ZIP 75075
Phone 972 612-1864
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 ALESHA ERICKSON

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