45D2000999 CLIA NUMBER - KROGER PHARMACY 358

Laboratory Demographics

  • CLIA Code: 45D2000999
  • Facility Name: KROGER PHARMACY 358
  • Facility Address: 5671 TREASCHWIG
    SPRING, TX
    ZIP 77373
  • Facility Phone: 281 443-2883
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY WILLIAMS
  • NPI Number: 1548333867
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2000999
LAB Type Pharmacy
Facility Name KROGER PHARMACY 358
Street 5671 TREASCHWIG
City SPRING
State TX
ZIP 77373
Phone 281 443-2883
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 ASHLEY WILLIAMS

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