45D1094822 CLIA NUMBER - KROGER PHARMACY 354

Laboratory Demographics

  • CLIA Code: 45D1094822
  • Facility Name: KROGER PHARMACY 354
  • Facility Address: 3550 SPENCER WHY
    PASADENA, TX
    ZIP 77504
  • Facility Phone: (713) 944-0722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARLA FIELDER
  • NPI Number: 1386717817
  • Taxonomy: 3336C0003X - Pharmacy

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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 7139440722
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 MARLA FIELDER

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