11D0982266 CLIA NUMBER - KROGER PHARMACY #426

Laboratory Demographics

  • CLIA Code: 11D0982266
  • Facility Name: KROGER PHARMACY #426
  • Facility Address: 400 PEACHTREE INDUSTRIAL BLVD
    SUWANEE, GA
    ZIP 30024
  • Facility Phone: 770 932-4373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1477587210
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0982266
LAB Type Pharmacy
Facility Name KROGER PHARMACY #426
Street 400 PEACHTREE INDUSTRIAL BLVD
City SUWANEE
State GA
ZIP 30024
Phone 770 932-4373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Pharmacy
Lab Director CHUCK PAGE

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