45D1099416 CLIA NUMBER - KROGER PHARMACY 543

Laboratory Demographics

  • CLIA Code: 45D1099416
  • Facility Name: KROGER PHARMACY 543
  • Facility Address: 945 W LAMAR BLVD
    ARLINGTON, TX
    ZIP 76012
  • Facility Phone: 817 277-2144
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: BISI YEROKUN
  • NPI Number: 1871666396
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Industrial
Lab Director BISI YEROKUN

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This page was last updated on: 6/4/2025