11D2266599 CLIA NUMBER - LEE ARRENDALE STATE PRISON

Laboratory Demographics

  • CLIA Code: 11D2266599
  • Facility Name: LEE ARRENDALE STATE PRISON
  • Facility Address: 2023 GAINESVILLE HIGHWAY S
    ALTO, GA
    ZIP 30510
  • Facility Phone: 678 470-3977
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: STEPHANIE CRESSWELL
  • NPI Number: 1851882013
  • Taxonomy: 3336I0012X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2266599
LAB Type Prison
Facility Name LEE ARRENDALE STATE PRISON
Street 2023 GAINESVILLE HIGHWAY S
City ALTO
State GA
ZIP 30510
Phone 678 470-3977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Prison
Lab Director STEPHANIE CRESSWELL

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