11D2071626 CLIA NUMBER - MARIETTA EYE CLINIC

Laboratory Demographics

  • CLIA Code: 11D2071626
  • Facility Name: MARIETTA EYE CLINIC
  • Facility Address: 1950 SPECTRUM CIRCLE, SE, SUITE 150
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 770 952-6851
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRE S. COHEN
  • NPI Number: 1891858437
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D2071626
LAB Type Physician Office
Facility Name MARIETTA EYE CLINIC
Street 1950 SPECTRUM CIRCLE, SE, SUITE 150
City MARIETTA
State GA
ZIP 30067
Phone 770 952-6851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director ANDRE S. COHEN

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