10D2210347 CLIA NUMBER - BRADFORD COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 10D2210347
  • Facility Name: BRADFORD COUNTY JAIL
  • Facility Address: 945-A NORTH TEMPLE AVE
    STARKE, FL
    ZIP 32091
  • Facility Phone: 904 966-6250
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: PETER GIANAS
  • NPI Number: 1003351818
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2210347
LAB Type Other - COUNTY JAIL
Facility Name BRADFORD COUNTY JAIL
Street 945-A NORTH TEMPLE AVE
City STARKE
State FL
ZIP 32091
Phone 904 966-6250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Other - COUNTY JAIL
Lab Director PETER GIANAS

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