11D2307343 CLIA NUMBER - HARALSON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2307343
  • Facility Name: HARALSON COUNTY JAIL
  • Facility Address: 137 HAYES-GLASS DRIVE
    BREMEN, GA
    ZIP 30110
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1104988930
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 11D2307343
LAB Type Other - JAIL MEDICAL UNIT
Facility Name HARALSON COUNTY JAIL
Street 137 HAYES-GLASS DRIVE
City BREMEN
State GA
ZIP 30110
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 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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