45D2052103 CLIA NUMBER - KROGER PHARMACY #038 ATTN PHARMICIST IN CHARGE

Laboratory Demographics

  • CLIA Code: 45D2052103
  • Facility Name: KROGER PHARMACY #038 ATTN PHARMICIST IN CHARGE
  • Facility Address: 25050 FM 1093
    RICHMOND, TX
    ZIP 77406
  • Facility Phone: 832 586-7376
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIYME DE LA FUENTE
  • NPI Number: 1952658940
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2052103
LAB Type Pharmacy
Facility Name KROGER PHARMACY #038 ATTN PHARMICIST IN CHARGE
Street 25050 FM 1093
City RICHMOND
State TX
ZIP 77406
Phone 832 586-7376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Pharmacy
Lab Director NIYME DE LA FUENTE

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