01D0969867 CLIA NUMBER - TALLADEGA COUNTY JAIL/MEDICAL UNIT

Laboratory Demographics

  • CLIA Code: 01D0969867
  • Facility Name: TALLADEGA COUNTY JAIL/MEDICAL UNIT
  • Facility Address: 150 EAST RENFROE ROAD
    TALLADEGA, AL
    ZIP 35160
  • Facility Phone: 205 437-1512
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: JOHNNY BATES
  • NPI Number: 1801316161
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 01D0969867
LAB Type Prison
Facility Name TALLADEGA COUNTY JAIL/MEDICAL UNIT
Street 150 EAST RENFROE ROAD
City TALLADEGA
State AL
ZIP 35160
Phone 205 437-1512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Prison
Lab Director JOHNNY BATES

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This page was last updated on: 3/20/2025