45D2001219 CLIA NUMBER - KROGER PHARMACY 302

Laboratory Demographics

  • CLIA Code: 45D2001219
  • Facility Name: KROGER PHARMACY 302
  • Facility Address: 5730 SEAWALL BLVD
    GALVESTON, TX
    ZIP 77551
  • Facility Phone: 409 741-9091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR FALLS
  • NPI Number: 1578636007
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001219
LAB Type Pharmacy
Facility Name KROGER PHARMACY 302
Street 5730 SEAWALL BLVD
City GALVESTON
State TX
ZIP 77551
Phone 409 741-9091
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 TAYLOR FALLS

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