45D2091902 CLIA NUMBER - KROGER PHARMACY #599

Laboratory Demographics

  • CLIA Code: 45D2091902
  • Facility Name: KROGER PHARMACY #599
  • Facility Address: 4620 SH 121
    LEWISVILLE, TX
    ZIP 75056
  • Facility Phone: 713 507-6276
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: REGINA JANES
  • NPI Number: 1184012338
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2091902
LAB Type Other - RETAIL PHARMACY
Facility Name KROGER PHARMACY #599
Street 4620 SH 121
City LEWISVILLE
State TX
ZIP 75056
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 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Other - RETAIL PHARMACY
Lab Director REGINA JANES

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