11D2071625 CLIA NUMBER - MARIETTA EYE CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 11D2071625
LAB Type Physician Office
Facility Name MARIETTA EYE CLINIC
Street 3939 ROSWELL ROAD, SUITE 100
City MARIETTA
State GA
ZIP 30062
Phone 770 977-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director ANDRE S. COHEN

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