45D2001106 CLIA NUMBER - KROGER PHARMACY 367

Laboratory Demographics

  • CLIA Code: 45D2001106
  • Facility Name: KROGER PHARMACY 367
  • Facility Address: 3820 ATASCOCITA ROAD
    HUMBLE, TX
    ZIP 77396
  • Facility Phone: 281 812-6397
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM NGUYEN
  • NPI Number: 1023181344
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001106
LAB Type Pharmacy
Facility Name KROGER PHARMACY 367
Street 3820 ATASCOCITA ROAD
City HUMBLE
State TX
ZIP 77396
Phone 281 812-6397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Pharmacy
Lab Director KIM NGUYEN

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