11D2020101 CLIA NUMBER - DOUGLAS COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2020101
  • Facility Name: DOUGLAS COUNTY JAIL
  • Facility Address: 8472 EARL DEE LEE BLVD, CORRECTHEALTH MEDICAL HSA
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 770 692-4750
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: CHARLES CLOPTON
  • NPI Number: 1265500326
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2020101
LAB Type Other - COUNTY JAIL
Facility Name DOUGLAS COUNTY JAIL
Street 8472 EARL DEE LEE BLVD, CORRECTHEALTH MEDICAL HSA
City DOUGLASVILLE
State GA
ZIP 30134
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 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Other - COUNTY JAIL
Lab Director CHARLES CLOPTON

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