10D1074586 CLIA NUMBER - GLADES CORRECTIONAL DEVELOPMENT CORPORATION

Laboratory Demographics

  • CLIA Code: 10D1074586
  • Facility Name: GLADES CORRECTIONAL DEVELOPMENT CORPORATION
  • Facility Address: 1297 E STATE ROAD 78
    MOORE HAVEN, FL
    ZIP 33471
  • Facility Phone: 954 649-3043
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: EMMANUEL NOEL
  • NPI Number: 1184123762
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 10D1074586
LAB Type Other - COUNTY JAIL
Facility Name GLADES CORRECTIONAL DEVELOPMENT CORPORATION
Street 1297 E STATE ROAD 78
City MOORE HAVEN
State FL
ZIP 33471
Phone 954 649-3043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Other - COUNTY JAIL
Lab Director EMMANUEL NOEL

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