11D2284756 CLIA NUMBER - LEE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2284756
  • Facility Name: LEE COUNTY JAIL
  • Facility Address: 119 PINEWOOD ROAD
    LEESBURG, GA
    ZIP 31763
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1255649273
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2284756
LAB Type Other - JAIL MEDICAL UNIT
Facility Name LEE COUNTY JAIL
Street 119 PINEWOOD ROAD
City LEESBURG
State GA
ZIP 31763
Phone 423 206-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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