45D2000967 CLIA NUMBER - KROGER PHARMACY 974

Laboratory Demographics

  • CLIA Code: 45D2000967
  • Facility Name: KROGER PHARMACY 974
  • Facility Address: 1700 N ALEXANDER
    BAYTOWN, TX
    ZIP 77520
  • Facility Phone: 281 422-8034
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KIMLA ABSHIRE
  • NPI Number: 1235202755
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000967
LAB Type Ambulance
Facility Name KROGER PHARMACY 974
Street 1700 N ALEXANDER
City BAYTOWN
State TX
ZIP 77520
Phone 281 422-8034
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 Ambulance
Lab Director KIMLA ABSHIRE

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