45D2000990 CLIA NUMBER - KROGER PHARMACY 396

Laboratory Demographics

  • CLIA Code: 45D2000990
  • Facility Name: KROGER PHARMACY 396
  • Facility Address: 6350 NORTH ELDRIDGE PARKWAY
    HOUSTON, TX
    ZIP 77041
  • Facility Phone: 713 896-8487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE NGO
  • NPI Number: 1851464382
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000990
LAB Type Pharmacy
Facility Name KROGER PHARMACY 396
Street 6350 NORTH ELDRIDGE PARKWAY
City HOUSTON
State TX
ZIP 77041
Phone 713 896-8487
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 CHRISTINE NGO

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