14D2036195 CLIA NUMBER - WILLIAMSON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 14D2036195
  • Facility Name: WILLIAMSON COUNTY JAIL
  • Facility Address: 200 JEFFERSON ST
    MARION, IL
    ZIP 62959
  • Facility Phone: 618 998-2100
  • Facility Type: Other - PRISON / JAIL
  • Facility Type: Waiver
  • Lab Director: MARILYN A. REYNOLDS
  • NPI Number: 1255428140
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2036195
LAB Type Other - PRISON / JAIL
Facility Name WILLIAMSON COUNTY JAIL
Street 200 JEFFERSON ST
City MARION
State IL
ZIP 62959
Phone 618 998-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Other - PRISON / JAIL
Lab Director MARILYN A. REYNOLDS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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