11D2032989 CLIA NUMBER - JENKINS CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 11D2032989
  • Facility Name: JENKINS CORRECTIONAL FACILITY
  • Facility Address: 3404 KENT FARM DRIVE
    MILLEN, GA
    ZIP 30442
  • Facility Phone: 580 309-2429
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: TERESA BUCKLES
  • NPI Number: 1669535514
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2032989
LAB Type Prison
Facility Name JENKINS CORRECTIONAL FACILITY
Street 3404 KENT FARM DRIVE
City MILLEN
State GA
ZIP 30442
Phone 580 309-2429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Prison
Lab Director TERESA BUCKLES

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This page was last updated on: 3/20/2025