11D0983349 CLIA NUMBER - KROGER PHARMACY #381

Laboratory Demographics

  • CLIA Code: 11D0983349
  • Facility Name: KROGER PHARMACY #381
  • Facility Address: 3455 PEACHTREE INDUSTRIAL BOULEVARD
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 770 476-7985
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1548285224
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0983349
LAB Type Pharmacy
Facility Name KROGER PHARMACY #381
Street 3455 PEACHTREE INDUSTRIAL BOULEVARD
City DULUTH
State GA
ZIP 30096
Phone 770 476-7985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director CHUCK PAGE

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