45D2000983 CLIA NUMBER - KROGER PHARMACY 397

Laboratory Demographics

  • CLIA Code: 45D2000983
  • Facility Name: KROGER PHARMACY 397
  • Facility Address: 8011 WEST GRAND PARKWAY SOUTH
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 281 341-2761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OGE JIDEONWO
  • NPI Number: 1386874725
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000983
LAB Type Pharmacy
Facility Name KROGER PHARMACY 397
Street 8011 WEST GRAND PARKWAY SOUTH
City RICHMOND
State TX
ZIP 77469
Phone 281 341-2761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Pharmacy
Lab Director OGE JIDEONWO

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