45D2001894 CLIA NUMBER - KROGER PHARMACY 587

Laboratory Demographics

  • CLIA Code: 45D2001894
  • Facility Name: KROGER PHARMACY 587
  • Facility Address: 3939 FRANKFORD ROAD
    DALLAS, TX
    ZIP 75287
  • Facility Phone: 972 662-1011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE FLYNN
  • NPI Number: 1306919832
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2001894
LAB Type Pharmacy
Facility Name KROGER PHARMACY 587
Street 3939 FRANKFORD ROAD
City DALLAS
State TX
ZIP 75287
Phone 972 662-1011
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 CATHERINE FLYNN

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