11D2184978 CLIA NUMBER - INGLES MARKETS, INC (INGLES PHARMACY #450)

Laboratory Demographics

  • CLIA Code: 11D2184978
  • Facility Name: INGLES MARKETS, INC (INGLES PHARMACY #450)
  • Facility Address: 9161 HIGHWAY 29 SOUTH
    HULL, GA
    ZIP 30646
  • Facility Phone: (706) 613-1734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE CECKA DUTY
  • NPI Number: 1033292198
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2184978
LAB Type Pharmacy
Facility Name INGLES MARKETS, INC (INGLES PHARMACY #450)
Street 9161 HIGHWAY 29 SOUTH
City HULL
State GA
ZIP 30646
Phone 7066131734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2026
Certificate Expiration Date 5/27/2028
Facility Type Pharmacy
Lab Director CAROLINE CECKA DUTY

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This page was last updated on: 5/18/2026