45D2000963 CLIA NUMBER - KROGER PHARMACY 746

Laboratory Demographics

  • CLIA Code: 45D2000963
  • Facility Name: KROGER PHARMACY 746
  • Facility Address: 11701 S SAM HOUSTON PKWY
    HOUSTON, TX
    ZIP 77089
  • Facility Phone: 281 484-3294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT NGUYEN
  • NPI Number: 1124191648
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000963
LAB Type Pharmacy
Facility Name KROGER PHARMACY 746
Street 11701 S SAM HOUSTON PKWY
City HOUSTON
State TX
ZIP 77089
Phone 281 484-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Pharmacy
Lab Director VINCENT NGUYEN

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