45D2001212 CLIA NUMBER - KROGER PHARMACY 321

Laboratory Demographics

  • CLIA Code: 45D2001212
  • Facility Name: KROGER PHARMACY 321
  • Facility Address: 3100 HWY 35
    ALVIN, TX
    ZIP 77511
  • Facility Phone: 281 388-3406
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIMISHA KIZHKKETHARA
  • NPI Number: 1336212851
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001212
LAB Type Pharmacy
Facility Name KROGER PHARMACY 321
Street 3100 HWY 35
City ALVIN
State TX
ZIP 77511
Phone 281 388-3406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Pharmacy
Lab Director NIMISHA KIZHKKETHARA

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