11D2188576 CLIA NUMBER - MARIETTA EYE CLINIC, PA

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CLIA Record

Field Name Field Value
CLIA Number 11D2188576
LAB Type Physician Office
Facility Name MARIETTA EYE CLINIC, PA
Street 10485 ALPHARETTA STREET
City ROSWELL
State GA
ZIP 30075
Phone 678 439-2443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director ANDRE S. COHEN

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