11D2309359 CLIA NUMBER - BALDWIN COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 11D2309359
  • Facility Name: BALDWIN COUNTY JAIL
  • Facility Address: 119 OLD MONTICELLO ROAD, NW
    MILLEDGEVILLE, GA
    ZIP 31061
  • Facility Phone: 770 692-4750
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: MIKELL KARSTEN
  • NPI Number: 1235175126
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2309359
LAB Type Other - COUNTY JAIL
Facility Name BALDWIN COUNTY JAIL
Street 119 OLD MONTICELLO ROAD, NW
City MILLEDGEVILLE
State GA
ZIP 31061
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 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Other - COUNTY JAIL
Lab Director MIKELL KARSTEN

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