11D2098268 CLIA NUMBER - KROGER PHARMACY #460

Laboratory Demographics

  • CLIA Code: 11D2098268
  • Facility Name: KROGER PHARMACY #460
  • Facility Address: 7 DIAMOND CAUSEWAY
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 353-4351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1265466072
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2098268
LAB Type Pharmacy
Facility Name KROGER PHARMACY #460
Street 7 DIAMOND CAUSEWAY
City SAVANNAH
State GA
ZIP 31406
Phone 912 353-4351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Pharmacy
Lab Director CHUCK PAGE

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