10D2201732 CLIA NUMBER - SOUTHERN CORRECTIONAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 10D2201732
  • Facility Name: SOUTHERN CORRECTIONAL MEDICINE LLC
  • Facility Address: 823 SW PINCKNEY ST
    MADISON, FL
    ZIP 32340
  • Facility Phone: 850 973-4001
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: PETER WROBEL
  • NPI Number: 1407292238
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2201732
LAB Type Other - JAIL
Facility Name SOUTHERN CORRECTIONAL MEDICINE LLC
Street 823 SW PINCKNEY ST
City MADISON
State FL
ZIP 32340
Phone 850 973-4001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Other - JAIL
Lab Director PETER WROBEL

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