15D0979699 CLIA NUMBER - PENDLETON JUVENILE CORRECTIONAL FACILITY

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CLIA Record

Field Name Field Value
CLIA Number 15D0979699
LAB Type Prison
Facility Name PENDLETON JUVENILE CORRECTIONAL FACILITY
Street 9310 S STATE RD 67
City PENDLETON
State IN
ZIP 46064
Phone 765 778-3778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Prison
Lab Director ALYSSIA WRIGHT

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