45D2000985 CLIA NUMBER - KROGER PHARMACY 392

Laboratory Demographics

  • CLIA Code: 45D2000985
  • Facility Name: KROGER PHARMACY 392
  • Facility Address: 6425 FM 1464
    RICHMOND, TX
    ZIP 77469
  • Facility Phone: 281 277-2242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELECHI UGWUADU
  • NPI Number: 1588737019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000985
LAB Type Pharmacy
Facility Name KROGER PHARMACY 392
Street 6425 FM 1464
City RICHMOND
State TX
ZIP 77469
Phone 281 277-2242
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 KELECHI UGWUADU

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