11D2200418 CLIA NUMBER - SOUTHERN CORRECTIONAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 11D2200418
  • Facility Name: SOUTHERN CORRECTIONAL MEDICINE, LLC
  • Facility Address: 95 SGT ROBERT W CRAPPS DRIVE
    PEMBROKE, GA
    ZIP 31321
  • Facility Phone: (912) 283-5260
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: PETER WROBEL

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CLIA Record

Field Name Field Value
CLIA Number 11D2200418
LAB Type Other - JAIL
Facility Name SOUTHERN CORRECTIONAL MEDICINE, LLC
Street 95 SGT ROBERT W CRAPPS DRIVE
City PEMBROKE
State GA
ZIP 31321
Phone 9122835260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Other - JAIL
Lab Director PETER WROBEL

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