11D0984296 CLIA NUMBER - KROGER PHARMACY #418

Laboratory Demographics

  • CLIA Code: 11D0984296
  • Facility Name: KROGER PHARMACY #418
  • Facility Address: 311 EAST GWINNETT STREET
    SAVANNAH, GA
    ZIP 31401
  • Facility Phone: (912) 231-2266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1902830896
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0984296
LAB Type Pharmacy
Facility Name KROGER PHARMACY #418
Street 311 EAST GWINNETT STREET
City SAVANNAH
State GA
ZIP 31401
Phone 9122312266
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: 5/18/2026