11D2185008 CLIA NUMBER - INGLES MARKETS, INC (INGLES PHARMACY #086)

Laboratory Demographics

  • CLIA Code: 11D2185008
  • Facility Name: INGLES MARKETS, INC (INGLES PHARMACY #086)
  • Facility Address: 964 GI MADDOX PARKWAY
    CHATSWORTH, GA
    ZIP 30705
  • Facility Phone: 706 517-7312
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE CECKA
  • NPI Number: 1306851258
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2185008
LAB Type Pharmacy
Facility Name INGLES MARKETS, INC (INGLES PHARMACY #086)
Street 964 GI MADDOX PARKWAY
City CHATSWORTH
State GA
ZIP 30705
Phone 706 517-7312
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: 9/29/2025