45D1095003 CLIA NUMBER - KROGER PHARMACY 145

Laboratory Demographics

  • CLIA Code: 45D1095003
  • Facility Name: KROGER PHARMACY 145
  • Facility Address: 223 IH 45 SOUTH
    HUNTSVILLE, TX
    ZIP 77340
  • Facility Phone: 936 999-7001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANAS DAHER ALKHATIB
  • NPI Number: 1477626794
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1095003
LAB Type Pharmacy
Facility Name KROGER PHARMACY 145
Street 223 IH 45 SOUTH
City HUNTSVILLE
State TX
ZIP 77340
Phone 936 999-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Pharmacy
Lab Director ANAS DAHER ALKHATIB

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