11D2277189 CLIA NUMBER - HOUSTON COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 11D2277189
  • Facility Name: HOUSTON COUNTY DETENTION CENTER
  • Facility Address: 203 PERRY PARKWAY, ATTN MEDICAL HSA
    PERRY, GA
    ZIP 31069
  • Facility Phone: 770 692-4750
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: MIKELL KARTSEN
  • NPI Number: 1467873547
  • Taxonomy: 207P00000X - Emergency Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2277189
LAB Type Other - COUNTY JAIL
Facility Name HOUSTON COUNTY DETENTION CENTER
Street 203 PERRY PARKWAY, ATTN MEDICAL HSA
City PERRY
State GA
ZIP 31069
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 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Other - COUNTY JAIL
Lab Director MIKELL KARTSEN

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