11D2052247 CLIA NUMBER - HABERSHAM COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 11D2052247
  • Facility Name: HABERSHAM COUNTY DETENTION CENTER
  • Facility Address: 1000 DETENTION DRIVE, MEDICAL DEPARTMENT
    CLARKESVILLE, GA
    ZIP 30523
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: MS. STACY FREEMAN
  • NPI Number: 1386714343
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2052247
LAB Type Other - JAIL MEDICAL UNIT
Facility Name HABERSHAM COUNTY DETENTION CENTER
Street 1000 DETENTION DRIVE, MEDICAL DEPARTMENT
City CLARKESVILLE
State GA
ZIP 30523
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 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director MS. STACY FREEMAN

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