11D2098152 CLIA NUMBER - KROGER PHARMACY #446

Laboratory Demographics

  • CLIA Code: 11D2098152
  • Facility Name: KROGER PHARMACY #446
  • Facility Address: 3895 CHEROKEE ST, NE
    KENNESAW, GA
    ZIP 30144
  • Facility Phone: 770 218-7033
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1285668020
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2098152
LAB Type Pharmacy
Facility Name KROGER PHARMACY #446
Street 3895 CHEROKEE ST, NE
City KENNESAW
State GA
ZIP 30144
Phone 770 218-7033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
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