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45D1094822 CLIA NUMBER - KROGER PHARMACY 354

Laboratory Demographics

CLIA Number: 45D1094822

Facility Name: KROGER PHARMACY 354

Facility Address:
3550 SPENCER WHY
PASADENA, TX
ZIP 77504
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Facility Phone Number: 713 944-0722

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1386717817

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 45D1094822
LAB Type Pharmacy
Facility Name KROGER PHARMACY 354
Street 3550 SPENCER WHY
City PASADENA
State TX
ZIP 77504
Phone 713 944-0722
CertificateType 4
CertificateEffectiveDate 1/28/2023
CertificateExpirationDate 1/27/2025
FacilityType Waiver

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