10D2114797 CLIA NUMBER - POLK CORRECTIONAL INSTITUTION POLK WORK CAMP BARTOW WORK RELEASE

Laboratory Demographics

  • CLIA Code: 10D2114797
  • Facility Name: POLK CORRECTIONAL INSTITUTION POLK WORK CAMP BARTOW WORK RELEASE
  • Facility Address: 10800 EVANS RD
    POLK CITY, FL
    ZIP 33868
  • Facility Phone: 863 984-5895
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MERCEDES CABALEIRO
  • NPI Number: 1679810972
  • Taxonomy: 302R00000X - Health Maintenance Organization

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2114797
LAB Type Prison
Facility Name POLK CORRECTIONAL INSTITUTION POLK WORK CAMP BARTOW WORK RELEASE
Street 10800 EVANS RD
City POLK CITY
State FL
ZIP 33868
Phone 863 984-5895
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 MERCEDES CABALEIRO

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