45D2001868 CLIA NUMBER - KROGER PHARMACY 545

Laboratory Demographics

  • CLIA Code: 45D2001868
  • Facility Name: KROGER PHARMACY 545
  • Facility Address: 1001 N BECKLEY, SUITE 500
    DESOTO, TX
    ZIP 75115
  • Facility Phone: (972) 224-3225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFF LOESCH
  • NPI Number: 1710050026
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001868
LAB Type Pharmacy
Facility Name KROGER PHARMACY 545
Street 1001 N BECKLEY, SUITE 500
City DESOTO
State TX
ZIP 75115
Phone 9722243225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2026
Certificate Expiration Date 1/3/2028
Facility Type Pharmacy
Lab Director JEFF LOESCH

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This page was last updated on: 5/18/2026