11D0983385 CLIA NUMBER - KROGER PHARMACY

Laboratory Demographics

  • CLIA Code: 11D0983385
  • Facility Name: KROGER PHARMACY
  • Facility Address: 5665 GEORGIA HIGHWAY 9
    ALPHARETTA, GA
    ZIP 30023
  • Facility Phone: 770 752-5388
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1811921653
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0983385
LAB Type Pharmacy
Facility Name KROGER PHARMACY
Street 5665 GEORGIA HIGHWAY 9
City ALPHARETTA
State GA
ZIP 30023
Phone 770 752-5388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Pharmacy
Lab Director CHUCK PAGE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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