45D1094867 CLIA NUMBER - KROGER PHARMACY 743

Laboratory Demographics

  • CLIA Code: 45D1094867
  • Facility Name: KROGER PHARMACY 743
  • Facility Address: 151 N FRIENDSWOOD DR
    FRIENDSWOOD, TX
    ZIP 77546
  • Facility Phone: 281 992-1710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FORTUNE OKONKWO
  • NPI Number: 1215000732
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1094867
LAB Type Pharmacy
Facility Name KROGER PHARMACY 743
Street 151 N FRIENDSWOOD DR
City FRIENDSWOOD
State TX
ZIP 77546
Phone 281 992-1710
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 FORTUNE OKONKWO

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