45D2134750 CLIA NUMBER - KROGER PHARMACY #34-130

Laboratory Demographics

CLIA Number: 45D2134750

Facility Name: KROGER PHARMACY #34-130

Facility Address:
2150 SPRING STUEBNER
SPRING, TX
ZIP 77389
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Facility Phone Number: 281 602-0313

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033645635

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024