45D2054847 CLIA NUMBER - KROGER PHARMACY #337

Laboratory Demographics

  • CLIA Code: 45D2054847
  • Facility Name: KROGER PHARMACY #337
  • Facility Address: 2619 RED BLUFF RD ATTN PHARMACIST IN CHARGE
    PASADENA, TX
    ZIP 77503
  • Facility Phone: 713 475-0939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AVA DEYON
  • NPI Number: 1285707711
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2054847
LAB Type Pharmacy
Facility Name KROGER PHARMACY #337
Street 2619 RED BLUFF RD ATTN PHARMACIST IN CHARGE
City PASADENA
State TX
ZIP 77503
Phone 713 475-0939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director AVA DEYON

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