11D2184983 CLIA NUMBER - INGLES MARKETS, INC (INGLES PHARMACY #437)

Laboratory Demographics

  • CLIA Code: 11D2184983
  • Facility Name: INGLES MARKETS, INC (INGLES PHARMACY #437)
  • Facility Address: 1449 WEST CHURCH STREET
    JASPER, GA
    ZIP 30143
  • Facility Phone: 706 692-2686
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE CECKA
  • NPI Number: 1497760342
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2184983
LAB Type Pharmacy
Facility Name INGLES MARKETS, INC (INGLES PHARMACY #437)
Street 1449 WEST CHURCH STREET
City JASPER
State GA
ZIP 30143
Phone 706 692-2686
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: 3/20/2025