45D1094821 CLIA NUMBER - KROGER PHARMACY 336

Laboratory Demographics

  • CLIA Code: 45D1094821
  • Facility Name: KROGER PHARMACY 336
  • Facility Address: 22150 WESTHEIMER PARKWAY
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 828-8778
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOB WALLACE
  • NPI Number: 1063585388
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1094821
LAB Type Pharmacy
Facility Name KROGER PHARMACY 336
Street 22150 WESTHEIMER PARKWAY
City KATY
State TX
ZIP 77450
Phone 281 828-8778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Pharmacy
Lab Director BOB WALLACE

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