11D2305173 CLIA NUMBER - CORNERSTONE PHLEBOTOMY SERVICES

Laboratory Demographics

  • CLIA Code: 11D2305173
  • Facility Name: CORNERSTONE PHLEBOTOMY SERVICES
  • Facility Address: 602 CHURCH STREET, SUITE A
    VIDALIA, GA
    ZIP 30474
  • Facility Phone: 912 386-7117
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DEIDRE L. PAYNE
  • NPI Number: 1578394458
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2305173
LAB Type Independent
Facility Name CORNERSTONE PHLEBOTOMY SERVICES
Street 602 CHURCH STREET, SUITE A
City VIDALIA
State GA
ZIP 30474
Phone 912 386-7117
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Independent
Lab Director DEIDRE L. PAYNE

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