45D2081076 CLIA NUMBER - KROGER PHARMACY #115

Laboratory Demographics

  • CLIA Code: 45D2081076
  • Facility Name: KROGER PHARMACY #115
  • Facility Address: 9703 BARKER CYPRESS RD
    CYPRESS, TX
    ZIP 77433
  • Facility Phone: 281 746-3645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNIE LE
  • NPI Number: 1538232848
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2081076
LAB Type Pharmacy
Facility Name KROGER PHARMACY #115
Street 9703 BARKER CYPRESS RD
City CYPRESS
State TX
ZIP 77433
Phone 281 746-3645
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 ANNIE LE

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