45D2000966 CLIA NUMBER - KROGER PHARMACY 748

Laboratory Demographics

  • CLIA Code: 45D2000966
  • Facility Name: KROGER PHARMACY 748
  • Facility Address: 10010 CYPRESSWOOD DR
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 281 807-1056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIKA WILSON
  • NPI Number: 1033282553
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000966
LAB Type Pharmacy
Facility Name KROGER PHARMACY 748
Street 10010 CYPRESSWOOD DR
City HOUSTON
State TX
ZIP 77070
Phone 281 807-1056
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 ERIKA WILSON

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