11D1001632 CLIA NUMBER - CARROLL COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D1001632
  • Facility Name: CARROLL COUNTY JAIL
  • Facility Address: 1000 NEWNAN ROAD ATTN CORRECTHEALTH MEDICAL HSA
    CARROLLTON, GA
    ZIP 30116
  • Facility Phone: 770 692-4750
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: CHARLES CLOPTON
  • NPI Number: 1285713891
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1001632
LAB Type Other - COUNTY JAIL
Facility Name CARROLL COUNTY JAIL
Street 1000 NEWNAN ROAD ATTN CORRECTHEALTH MEDICAL HSA
City CARROLLTON
State GA
ZIP 30116
Phone 770 692-4750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other - COUNTY JAIL
Lab Director CHARLES CLOPTON

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