11D2098501 CLIA NUMBER - KROGER PHARMACY #494

Laboratory Demographics

  • CLIA Code: 11D2098501
  • Facility Name: KROGER PHARMACY #494
  • Facility Address: 3300 HAMILTON MILL ROAD
    BUFORD, GA
    ZIP 30519
  • Facility Phone: 000 770-6141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1346274156
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2098501
LAB Type Pharmacy
Facility Name KROGER PHARMACY #494
Street 3300 HAMILTON MILL ROAD
City BUFORD
State GA
ZIP 30519
Phone 000 770-6141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director CHUCK PAGE

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