45D2001583 CLIA NUMBER - KROGER PHARMACY 448

Laboratory Demographics

  • CLIA Code: 45D2001583
  • Facility Name: KROGER PHARMACY 448
  • Facility Address: 950 E SANDY LAKE ROAD
    COPPELL, TX
    ZIP 75019
  • Facility Phone: 972 304-0823
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHY LAND
  • NPI Number: 1518030139
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2001583
LAB Type Pharmacy
Facility Name KROGER PHARMACY 448
Street 950 E SANDY LAKE ROAD
City COPPELL
State TX
ZIP 75019
Phone 972 304-0823
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 KATHY LAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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