01D2275484 CLIA NUMBER - DEKALB COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 01D2275484
  • Facility Name: DEKALB COUNTY DETENTION CENTER
  • Facility Address: 2801 JORDAN RD SW
    FORT PAYNE, AL
    ZIP 35968
  • Facility Phone: 256 304-0466
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: ROBERT W. THEAKSTON
  • NPI Number: 1013098300
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2275484
LAB Type Other - COUNTY JAIL
Facility Name DEKALB COUNTY DETENTION CENTER
Street 2801 JORDAN RD SW
City FORT PAYNE
State AL
ZIP 35968
Phone 256 304-0466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Other - COUNTY JAIL
Lab Director ROBERT W. THEAKSTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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