11D2260035 CLIA NUMBER - SOUTHERN CORRECTIONAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 11D2260035
  • Facility Name: SOUTHERN CORRECTIONAL MEDICINE, LLC
  • Facility Address: 307 SOUTH DIXON STREET
    ALMA, GA
    ZIP 31510
  • Facility Phone: 912 283-5260
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: PETER WROBEL
  • NPI Number: 1578093712
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2260035
LAB Type Other - COUNTY JAIL
Facility Name SOUTHERN CORRECTIONAL MEDICINE, LLC
Street 307 SOUTH DIXON STREET
City ALMA
State GA
ZIP 31510
Phone 912 283-5260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Other - COUNTY JAIL
Lab Director PETER WROBEL

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