45D1093161 CLIA NUMBER - KROGER PHARMACY 009

Laboratory Demographics

CLIA Number: 45D1093161

Facility Name: KROGER PHARMACY 009

Facility Address:
10250 STATE HIGHWAY 6
MISSOURI CITY, TX
ZIP 77459
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Facility Phone Number: 281 431-6113

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063585586

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D1093161
LAB Type Pharmacy
Facility Name KROGER PHARMACY 009
Street 10250 STATE HIGHWAY 6
City MISSOURI CITY
State TX
ZIP 77459
Phone 281 431-6113
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024