45D2060780 CLIA NUMBER - KROGER PHARMACY #017

Laboratory Demographics

  • CLIA Code: 45D2060780
  • Facility Name: KROGER PHARMACY #017
  • Facility Address: ATTN PHARMACIST IN CHARGE 1440 STUDEMONT ST
    HOUSTON, TX
    ZIP 77007
  • Facility Phone: 832 708-2287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAMAKALA SHEELA
  • NPI Number: 1730443292
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2060780
LAB Type Pharmacy
Facility Name KROGER PHARMACY #017
Street ATTN PHARMACIST IN CHARGE 1440 STUDEMONT ST
City HOUSTON
State TX
ZIP 77007
Phone 832 708-2287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director CHAMAKALA SHEELA

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