CORNERSTONE PHLEBOTOMY SERVICES LLC.
NPI 1578394458
Clinical Medical Laboratory in Vidalia, GA

Active since August 12, 2024CLIA 11D2305173 · Waiver
602 CHURCH ST STE A, VIDALIA, GA 30474(912) 307-1761(912) 386-7118 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cornerstone Phlebotomy Services Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE PHLEBOTOMY SERVICES LLC. (NPI 1578394458), doing business as Cornerstone Phlebotomy Services, is a healthcare organization registered as a clinical medical laboratory in Vidalia, Georgia and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Tina N Peebles, Owner, as its authorized official.

NPPES Registry Identity

NPI1578394458
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCORNERSTONE PHLEBOTOMY SERVICES LLC.
Location Address602 CHURCH ST STE AVidalia, GA 30474-4744
Mailing Address602 Church St Ste AVidalia, GA 30474-4744 · (912) 307-1761 · Fax (912) 386-7118
Fax(912) 386-7118
Organization SubpartNo
Authorized OfficialTina N PeeblesOwner · (912) 307-1761
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
NPI 1578394458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
602 CHURCH ST STE A, Vidalia, GA 30474

Other Names 1

Doing Business AsCornerstone Phlebotomy Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2305173

Cornerstone Phlebotomy Services · Vidalia, GA
Active · expires Jul 31, 2027
CLIA Number11D2305173
Laboratory TypeIndependent
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorTina L. Peebles
Laboratory Phone(912) 386-7117
Laboratory LocationCornerstone Phlebotomy Services602 Church Street, Suite A, Vidalia, GA 30474
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
602 CHURCH ST STE A
VIDALIA, GA 30474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Phlebotomy Services LLC.'s NPI number?

The NPI number for Cornerstone Phlebotomy Services LLC. is 1578394458. It was assigned to this organization in the NPPES registry on August 12, 2024. The provider is doing business as Cornerstone Phlebotomy Services.

Where is Cornerstone Phlebotomy Services LLC. located?

Cornerstone Phlebotomy Services LLC. is located at 602 Church St Ste A, Vidalia, GA 30474. The listed phone number is (912) 307-1761.

What is Cornerstone Phlebotomy Services LLC.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Cornerstone Phlebotomy Services LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2305173) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornerstone Phlebotomy Services LLC. was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.