45D1097424 CLIA NUMBER - KROGER PHARMACY 435

Laboratory Demographics

  • CLIA Code: 45D1097424
  • Facility Name: KROGER PHARMACY 435
  • Facility Address: 2475 ASCENSION BLVD
    ARLINGTON, TX
    ZIP 76011
  • Facility Phone: 817 275-2901
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: BISI YEROKUN
  • NPI Number: 1538232061
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D1097424
LAB Type Industrial
Facility Name KROGER PHARMACY 435
Street 2475 ASCENSION BLVD
City ARLINGTON
State TX
ZIP 76011
Phone 817 275-2901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Industrial
Lab Director BISI YEROKUN

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