11D2290534 CLIA NUMBER - HART COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2290534
  • Facility Name: HART COUNTY JAIL
  • Facility Address: 155 N CAROLINA STREET
    HARTWELL, GA
    ZIP 30643
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1871609735
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 11D2290534
LAB Type Other - JAIL MEDICAL UNIT
Facility Name HART COUNTY JAIL
Street 155 N CAROLINA STREET
City HARTWELL
State GA
ZIP 30643
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 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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