45D2001851 CLIA NUMBER - KROGER PHARMACY 493

Laboratory Demographics

  • CLIA Code: 45D2001851
  • Facility Name: KROGER PHARMACY 493
  • Facility Address: 500 W UNIVERSITY
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 383-3512
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: TOM FAUGHT
  • NPI Number: 1477626083
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2001851
LAB Type Industrial
Facility Name KROGER PHARMACY 493
Street 500 W UNIVERSITY
City DENTON
State TX
ZIP 76201
Phone 940 383-3512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Industrial
Lab Director TOM FAUGHT

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