11D2098544 CLIA NUMBER - KROGER PHARMACY #497

Laboratory Demographics

  • CLIA Code: 11D2098544
  • Facility Name: KROGER PHARMACY #497
  • Facility Address: 900 MARIETTA HWY
    ROSWELL, GA
    ZIP 30075
  • Facility Phone: 678 352-7497
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIZA CHAPMAN
  • NPI Number: 1093749806
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Pharmacy
Lab Director LIZA CHAPMAN

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