11D2123666 CLIA NUMBER - RIDGEVIEW INSTITUTE - MONROE

Laboratory Demographics

  • CLIA Code: 11D2123666
  • Facility Name: RIDGEVIEW INSTITUTE - MONROE
  • Facility Address: 709 BREEDLOVE DRIVE
    MONROE, GA
    ZIP 30655
  • Facility Phone: (678) 635-3521
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: NEIL LACANLALE
  • NPI Number: 1073069944
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 11D2123666
LAB Type Hospital
Facility Name RIDGEVIEW INSTITUTE - MONROE
Street 709 BREEDLOVE DRIVE
City MONROE
State GA
ZIP 30655
Phone 6786353521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Hospital
Lab Director NEIL LACANLALE

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This page was last updated on: 5/18/2026