45D2001004 CLIA NUMBER - KROGER PHARMACY 342

Laboratory Demographics

  • CLIA Code: 45D2001004
  • Facility Name: KROGER PHARMACY 342
  • Facility Address: 1905 EL MAR
    SEABROOK, TX
    ZIP 77586
  • Facility Phone: 281 474-7666
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGOCTUYET VO
  • NPI Number: 1548333073
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001004
LAB Type Pharmacy
Facility Name KROGER PHARMACY 342
Street 1905 EL MAR
City SEABROOK
State TX
ZIP 77586
Phone 281 474-7666
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 NGOCTUYET VO

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