11D2099861 CLIA NUMBER - KROGER PHARMACY #363

Laboratory Demographics

  • CLIA Code: 11D2099861
  • Facility Name: KROGER PHARMACY #363
  • Facility Address: 48 BULLSBORO DR
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 770 251-5188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIZA CHAPMAN
  • NPI Number: 1588698310
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2099861
LAB Type Pharmacy
Facility Name KROGER PHARMACY #363
Street 48 BULLSBORO DR
City NEWNAN
State GA
ZIP 30263
Phone 770 251-5188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director LIZA CHAPMAN

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