10D2002638 CLIA NUMBER - JOANN BRIDGES ACADEMY

Laboratory Demographics

CLIA Code: 10D2002638
Facility Name: JOANN BRIDGES ACADEMY
Facility Address: 950 SW GREENVILLE HILLS RD
GREENVILLE, FL
ZIP 32331
Facility Phone: 850 948-4220
Facility Type: Other - RESIDENTIAL CORRECTIONAL
Facility Type: Waiver
Lab Director: TUWOLLAR MOBLEY
NPI Number: 1811021488
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	10D2002638
LAB Type	Other - RESIDENTIAL CORRECTIONAL
Facility Name	JOANN BRIDGES ACADEMY
Street	950 SW GREENVILLE HILLS RD
City	GREENVILLE
State	FL
ZIP	32331
Phone	850 948-4220
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/22/2024
Certificate Expiration Date	1/21/2026
Facility Type	Other - RESIDENTIAL CORRECTIONAL
Lab Director	TUWOLLAR MOBLEY

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