11D2184982 CLIA NUMBER - INGLES MARKETS, INC (INGLES PHARMACY #444)

Laboratory Demographics

  • CLIA Code: 11D2184982
  • Facility Name: INGLES MARKETS, INC (INGLES PHARMACY #444)
  • Facility Address: 1441 EATONTON ROAD
    MADISON, GA
    ZIP 30650
  • Facility Phone: 706 342-3119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE CECKA
  • NPI Number: 1447519269
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2184982
LAB Type Pharmacy
Facility Name INGLES MARKETS, INC (INGLES PHARMACY #444)
Street 1441 EATONTON ROAD
City MADISON
State GA
ZIP 30650
Phone 706 342-3119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Pharmacy
Lab Director CAROLINE CECKA

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This page was last updated on: 6/4/2025