34D2184784 CLIA NUMBER - INGLES MARKET, INC (INGLES PHARMACY #055)

Laboratory Demographics

  • CLIA Code: 34D2184784
  • Facility Name: INGLES MARKET, INC (INGLES PHARMACY #055)
  • Facility Address: 630 CHAMPION DRIVE
    CANTON, NC
    ZIP 28716
  • Facility Phone: 828 235-2795
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE CECKA
  • NPI Number: 1932114881
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2184784
LAB Type Pharmacy
Facility Name INGLES MARKET, INC (INGLES PHARMACY #055)
Street 630 CHAMPION DRIVE
City CANTON
State NC
ZIP 28716
Phone 828 235-2795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Pharmacy
Lab Director CAROLINE CECKA

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