45D1095397 CLIA NUMBER - KROGER PHARMACY 688

Laboratory Demographics

  • CLIA Code: 45D1095397
  • Facility Name: KROGER PHARMACY 688
  • Facility Address: 301 S BOWEN ROAD
    ARLINGTON, TX
    ZIP 76013
  • Facility Phone: 817 277-0072
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: DAVID NGUYEN
  • NPI Number: 1083787600
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1095397
LAB Type Industrial
Facility Name KROGER PHARMACY 688
Street 301 S BOWEN ROAD
City ARLINGTON
State TX
ZIP 76013
Phone 817 277-0072
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 DAVID NGUYEN

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This page was last updated on: 3/20/2025