10D2114751 CLIA NUMBER - HAMILTON CI MAIN UNIT ANNEX/ WORK CAMP

Laboratory Demographics

  • CLIA Code: 10D2114751
  • Facility Name: HAMILTON CI MAIN UNIT ANNEX/ WORK CAMP
  • Facility Address: 10650 SW 46TH ST
    JASPER, FL
    ZIP 32052
  • Facility Phone: 386 792-6001
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: LESLIE COLOMBANI
  • NPI Number: 1689738296
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2114751
LAB Type Prison
Facility Name HAMILTON CI MAIN UNIT ANNEX/ WORK CAMP
Street 10650 SW 46TH ST
City JASPER
State FL
ZIP 32052
Phone 386 792-6001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Prison
Lab Director LESLIE COLOMBANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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