01D2171641 CLIA NUMBER - CULLMAN COUNTY JAIL

Laboratory Demographics

CLIA Number: 01D2171641

Facility Name: CULLMAN COUNTY JAIL

Facility Address:
1900 BEECH AVE SE
CULLMAN, AL
ZIP 35055
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver

NPI Number: 1982125290

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name Field Value
CLIA Number 01D2171641
LAB Type Other - JAIL MEDICAL UNIT
Facility Name CULLMAN COUNTY JAIL
Street 1900 BEECH AVE SE
City CULLMAN
State AL
ZIP 35055
Phone 423 553-5635
CertificateType 4
CertificateEffectiveDate 9/5/2023
CertificateExpirationDate 9/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024