45D1091850 CLIA NUMBER - KROGER PHARMACY 308

Laboratory Demographics

  • CLIA Code: 45D1091850
  • Facility Name: KROGER PHARMACY 308
  • Facility Address: 11003 SHADOW CREEK PARKWAY
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 713 507-6283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINI MARKOSE
  • NPI Number: 1992957641
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1091850
LAB Type Pharmacy
Facility Name KROGER PHARMACY 308
Street 11003 SHADOW CREEK PARKWAY
City PEARLAND
State TX
ZIP 77584
Phone 713 507-6283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Pharmacy
Lab Director MINI MARKOSE

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