15D2203308 CLIA NUMBER - KNOX COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 15D2203308
  • Facility Name: KNOX COUNTY JAIL
  • Facility Address: 2375 S OLD DECKER RD
    VINCENNES, IN
    ZIP 47591
  • Facility Phone: 765 388-9491
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: ROY ABRAHAM
  • NPI Number: 1093755514
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2203308
LAB Type Other - JAIL
Facility Name KNOX COUNTY JAIL
Street 2375 S OLD DECKER RD
City VINCENNES
State IN
ZIP 47591
Phone 765 388-9491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Other - JAIL
Lab Director ROY ABRAHAM

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