11D2099797 CLIA NUMBER - KROGER PHARMACY #298

Laboratory Demographics

  • CLIA Code: 11D2099797
  • Facility Name: KROGER PHARMACY #298
  • Facility Address: 1700 MONROE DR
    ATLANTA, GA
    ZIP 30324
  • Facility Phone: 404 872-0785
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHUCK PAGE
  • NPI Number: 1225062045
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2099797
LAB Type Pharmacy
Facility Name KROGER PHARMACY #298
Street 1700 MONROE DR
City ATLANTA
State GA
ZIP 30324
Phone 404 872-0785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director CHUCK PAGE

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