45D2000996 CLIA NUMBER - KROGER PHARMACY 363

Laboratory Demographics

  • CLIA Code: 45D2000996
  • Facility Name: KROGER PHARMACY 363
  • Facility Address: 9919 WESTHEIMER
    HOUSTON, TX
    ZIP 77042
  • Facility Phone: 713 532-5858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAI DUSTIN TRANG
  • NPI Number: 1790858009
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000996
LAB Type Pharmacy
Facility Name KROGER PHARMACY 363
Street 9919 WESTHEIMER
City HOUSTON
State TX
ZIP 77042
Phone 713 532-5858
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 HAI DUSTIN TRANG

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