45D2134750 CLIA NUMBER - KROGER PHARMACY #34-130

Laboratory Demographics

  • CLIA Code: 45D2134750
  • Facility Name: KROGER PHARMACY #34-130
  • Facility Address: 2150 SPRING STUEBNER
    SPRING, TX
    ZIP 77389
  • Facility Phone: 281 602-0313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROCHELLE ROCQUE JACKSON
  • NPI Number: 1033645635
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134750
LAB Type Pharmacy
Facility Name KROGER PHARMACY #34-130
Street 2150 SPRING STUEBNER
City SPRING
State TX
ZIP 77389
Phone 281 602-0313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2023
Certificate Expiration Date 8/7/2025
Facility Type Pharmacy
Lab Director ROCHELLE ROCQUE JACKSON

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This page was last updated on: 6/4/2025