45D2001112 CLIA NUMBER - KROGER PHARMACY 156

Laboratory Demographics

  • CLIA Code: 45D2001112
  • Facility Name: KROGER PHARMACY 156
  • Facility Address: 6322 TELEPHONE ROAD
    HOUSTON, TX
    ZIP 77087
  • Facility Phone: 713 644-1815
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEON YUAN
  • NPI Number: 1164595781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001112
LAB Type Pharmacy
Facility Name KROGER PHARMACY 156
Street 6322 TELEPHONE ROAD
City HOUSTON
State TX
ZIP 77087
Phone 713 644-1815
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 LEON YUAN

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