45D2001860 CLIA NUMBER - KROGER PHARMACY 528

Laboratory Demographics

  • CLIA Code: 45D2001860
  • Facility Name: KROGER PHARMACY 528
  • Facility Address: 4142 CEDAR SPRINGS
    DALLAS, TX
    ZIP 75219
  • Facility Phone: 214 599-9861
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID PALLETT
  • NPI Number: 1245303866
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001860
LAB Type Pharmacy
Facility Name KROGER PHARMACY 528
Street 4142 CEDAR SPRINGS
City DALLAS
State TX
ZIP 75219
Phone 214 599-9861
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 Pharmacy
Lab Director DAVID PALLETT

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This page was last updated on: 6/4/2025