11D2099016 CLIA NUMBER - KROGER PHARMACY #979

Laboratory Demographics

  • CLIA Code: 11D2099016
  • Facility Name: KROGER PHARMACY #979
  • Facility Address: 1900 VICTORY DRIVE
    SAVANNAH, GA
    ZIP 31404
  • Facility Phone: 912 236-0750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1477587350
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2099016
LAB Type Pharmacy
Facility Name KROGER PHARMACY #979
Street 1900 VICTORY DRIVE
City SAVANNAH
State GA
ZIP 31404
Phone 912 236-0750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
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