45D2090681 CLIA NUMBER - KROGER PHARMACY #535

Laboratory Demographics

  • CLIA Code: 45D2090681
  • Facility Name: KROGER PHARMACY #535
  • Facility Address: 9150 N TARRANT PARKWAY ATTN PHARMACIST LICENSING
    NORTH RICHLAND HILLS, TX
    ZIP 76182
  • Facility Phone: 713 507-6276
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: PATTI BERBERICH
  • NPI Number: 1427453794
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2090681
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #535
Street 9150 N TARRANT PARKWAY ATTN PHARMACIST LICENSING
City NORTH RICHLAND HILLS
State TX
ZIP 76182
Phone 713 507-6276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Other - RETAIL PHARMACY
Lab Director PATTI BERBERICH

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