45D2081070 CLIA NUMBER - KROGER PHARMACY #190

Laboratory Demographics

  • CLIA Code: 45D2081070
  • Facility Name: KROGER PHARMACY #190
  • Facility Address: ATTN PHARMACIST IN CHARGE 9475 FM 1960 BYPASS W
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 281 973-5090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH FOCHTMAN
  • NPI Number: 1386717908
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2081070
LAB Type Pharmacy
Facility Name KROGER PHARMACY #190
Street ATTN PHARMACIST IN CHARGE 9475 FM 1960 BYPASS W
City HUMBLE
State TX
ZIP 77338
Phone 281 973-5090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Pharmacy
Lab Director SARAH FOCHTMAN

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