45D2001567 CLIA NUMBER - KROGER PHARMACY 413

Laboratory Demographics

  • CLIA Code: 45D2001567
  • Facility Name: KROGER PHARMACY 413
  • Facility Address: 2580 E ARKANSAS LANE
    ARLINGTON, TX
    ZIP 76014
  • Facility Phone: 817 861-2779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1366515892
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001567
LAB Type Pharmacy
Facility Name KROGER PHARMACY 413
Street 2580 E ARKANSAS LANE
City ARLINGTON
State TX
ZIP 76014
Phone 817 861-2779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Pharmacy
Lab Director JEFF LOESCH

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