45D1094825 CLIA NUMBER - KROGER PHARMACY 371

Laboratory Demographics

  • CLIA Code: 45D1094825
  • Facility Name: KROGER PHARMACY 371
  • Facility Address: 12222 JONES ROAD
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 832 912-7578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER RODEN
  • NPI Number: 1033282553
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1094825
LAB Type Pharmacy
Facility Name KROGER PHARMACY 371
Street 12222 JONES ROAD
City HOUSTON
State TX
ZIP 77070
Phone 832 912-7578
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 AMBER RODEN

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This page was last updated on: 6/4/2025