45D2001885 CLIA NUMBER - KROGER PHARMACY 559

Laboratory Demographics

  • CLIA Code: 45D2001885
  • Facility Name: KROGER PHARMACY 559
  • Facility Address: 1406 W WALNUT
    GARLAND, TX
    ZIP 75042
  • Facility Phone: 972 494-3306
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE TANG
  • NPI Number: 1104999630
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001885
LAB Type Pharmacy
Facility Name KROGER PHARMACY 559
Street 1406 W WALNUT
City GARLAND
State TX
ZIP 75042
Phone 972 494-3306
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 CHRISTINE TANG

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