45D1094824 CLIA NUMBER - KROGER PHARMACY 366

Laboratory Demographics

  • CLIA Code: 45D1094824
  • Facility Name: KROGER PHARMACY 366
  • Facility Address: 12434 TOMBALL PARKWAY
    HOUSTON, TX
    ZIP 77086
  • Facility Phone: 281 272-0050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINH NGUYEN
  • NPI Number: 1376616995
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1094824
LAB Type Pharmacy
Facility Name KROGER PHARMACY 366
Street 12434 TOMBALL PARKWAY
City HOUSTON
State TX
ZIP 77086
Phone 281 272-0050
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 LINH NGUYEN

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