11D2270420 CLIA NUMBER - SCINTILLA CHARTER ACADEMY

Laboratory Demographics

  • CLIA Code: 11D2270420
  • Facility Name: SCINTILLA CHARTER ACADEMY
  • Facility Address: 2171 E PARK AVENUE
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 244-5750
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ERIN LAWSON
  • NPI Number: 1740658558
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 11D2270420
LAB Type School/Student Health Service
Facility Name SCINTILLA CHARTER ACADEMY
Street 2171 E PARK AVENUE
City VALDOSTA
State GA
ZIP 31602
Phone 229 244-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type School/Student Health Service
Lab Director ERIN LAWSON

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