45D1082380 CLIA NUMBER - KROGER PHARMACY 586

Laboratory Demographics

  • CLIA Code: 45D1082380
  • Facility Name: KROGER PHARMACY 586
  • Facility Address: 1592 S LOOP 288
    DENTON, TX
    ZIP 76208
  • Facility Phone: (940) 566-5252
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1396818829
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1082380
LAB Type Industrial
Facility Name KROGER PHARMACY 586
Street 1592 S LOOP 288
City DENTON
State TX
ZIP 76208
Phone 9405665252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2026
Certificate Expiration Date 4/7/2028
Facility Type Industrial
Lab Director JEFF LOESCH

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This page was last updated on: 5/18/2026