11D2097556 CLIA NUMBER - KROGER PHARMACY #218

Laboratory Demographics

  • CLIA Code: 11D2097556
  • Facility Name: KROGER PHARMACY #218
  • Facility Address: 3855 BUFORD HIGHWAY
    ATLANTA, GA
    ZIP 30329
  • Facility Phone: 404 325-5292
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1144254020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2097556
LAB Type Other - PHARMACY
Facility Name KROGER PHARMACY #218
Street 3855 BUFORD HIGHWAY
City ATLANTA
State GA
ZIP 30329
Phone 404 325-5292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Other - PHARMACY
Lab Director CHUCK PAGE

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