11D2098544 CLIA NUMBER - KROGER PHARMACY #497

Home > CLIA Lookup > 11D2098544

Laboratory Demographics

CLIA Number: 11D2098544

Facility Name: KROGER PHARMACY #497

Facility Address:
900 MARIETTA HWY
ROSWELL, GA
ZIP 30075
Get Directions

Facility Phone Number: 678 352-7497

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093749806

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	11D2098544
LAB Type	Pharmacy
Facility Name	KROGER PHARMACY #497
Street	900 MARIETTA HWY
City	ROSWELL
State	GA
ZIP	30075
Phone	678 352-7497
CertificateType	4
CertificateEffectiveDate	7/9/2023
CertificateExpirationDate	7/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024