11D2284808 CLIA NUMBER - BUTTS COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2284808
  • Facility Name: BUTTS COUNTY JAIL
  • Facility Address: 835 ERNEST BILES DRIVE
    JACKSON, GA
    ZIP 30233
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1235292244
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 11D2284808
LAB Type Other - JAIL MEDICAL UNIT
Facility Name BUTTS COUNTY JAIL
Street 835 ERNEST BILES DRIVE
City JACKSON
State GA
ZIP 30233
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 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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