45D2114023 CLIA NUMBER - KROGER PHARMACY #128

Laboratory Demographics

  • CLIA Code: 45D2114023
  • Facility Name: KROGER PHARMACY #128
  • Facility Address: 14221 E SAM HOUSTON PKWY N
    HOUSTON, TX
    ZIP 77044
  • Facility Phone: 281 670-2058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS JONES
  • NPI Number: 1760844401
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2114023
LAB Type Pharmacy
Facility Name KROGER PHARMACY #128
Street 14221 E SAM HOUSTON PKWY N
City HOUSTON
State TX
ZIP 77044
Phone 281 670-2058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Pharmacy
Lab Director TRAVIS JONES

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