45D1095391 CLIA NUMBER - KROGER PHARMACY 570

Laboratory Demographics

  • CLIA Code: 45D1095391
  • Facility Name: KROGER PHARMACY 570
  • Facility Address: 5021 TEASLEY LANE
    DENTON, TX
    ZIP 76210
  • Facility Phone: 940 380-4111
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: GEORGE JONES
  • NPI Number: 1922258672
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1095391
LAB Type Industrial
Facility Name KROGER PHARMACY 570
Street 5021 TEASLEY LANE
City DENTON
State TX
ZIP 76210
Phone 940 380-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Industrial
Lab Director GEORGE JONES

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