11D2071622 CLIA NUMBER - MARIETTA EYE CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 11D2071622
LAB Type Physician Office
Facility Name MARIETTA EYE CLINIC
Street 2453 POWDER SRINGS ROAD
City MARIETTA
State GA
ZIP 30064
Phone 770 801-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director ANDRE S. COHEN

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