15D2285237 CLIA NUMBER - CLARK COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 15D2285237
  • Facility Name: CLARK COUNTY JAIL
  • Facility Address: 501 EAST COURT AVE
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1306907894
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2285237
LAB Type Other - JAIL MEDICAL UNIT
Facility Name CLARK COUNTY JAIL
Street 501 EAST COURT AVE
City JEFFERSONVILLE
State IN
ZIP 47130
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 7/10/2023
Certificate Expiration Date 7/9/2025
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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This page was last updated on: 3/20/2025