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45D1099416 CLIA NUMBER - KROGER PHARMACY 543

Laboratory Demographics

CLIA Number: 45D1099416

Facility Name: KROGER PHARMACY 543

Facility Address:
945 W LAMAR BLVD
ARLINGTON, TX
ZIP 76012
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Facility Phone Number: 817 277-2144

Facility Type: Industrial

Certificate Type: Waiver
NPI Number: 1871666396

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D1099416
LAB Type Industrial
Facility Name KROGER PHARMACY 543
Street 945 W LAMAR BLVD
City ARLINGTON
State TX
ZIP 76012
Phone 817 277-2144
CertificateType 4
CertificateEffectiveDate 5/12/2023
CertificateExpirationDate 5/11/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024