11D1098185 CLIA NUMBER - TWIGGS COUNTY JAIL MEDICAL DEPARTMENT

Laboratory Demographics

  • CLIA Code: 11D1098185
  • Facility Name: TWIGGS COUNTY JAIL MEDICAL DEPARTMENT
  • Facility Address: 37 ASH STREET
    JEFFERSONVILLE, GA
    ZIP 31044
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: BETTY EVANS
  • NPI Number: 1366857609
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 11D1098185
LAB Type Other - JAIL MEDICAL UNIT
Facility Name TWIGGS COUNTY JAIL MEDICAL DEPARTMENT
Street 37 ASH STREET
City JEFFERSONVILLE
State GA
ZIP 31044
Phone 423 553-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director BETTY EVANS

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