01D2175057 CLIA NUMBER - COVINGTON COUNTY JAIL

Laboratory Demographics

CLIA Number: 01D2175057

Facility Name: COVINGTON COUNTY JAIL

Facility Address:
290 HILLCREST DRIVE
ANDALUSIA, AL
ZIP 36420
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver

NPI Number: 1932620184

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	01D2175057
LAB Type	Other - JAIL MEDICAL UNIT
Facility Name	COVINGTON COUNTY JAIL
Street	290 HILLCREST DRIVE
City	ANDALUSIA
State	AL
ZIP	36420
Phone	423 553-5635
CertificateType	4
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	Waiver

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