15D2299725 CLIA NUMBER - CRAWFORD COUNTY JUDICIAL COMPLEX

Laboratory Demographics

  • CLIA Code: 15D2299725
  • Facility Name: CRAWFORD COUNTY JUDICIAL COMPLEX
  • Facility Address: 715 JUDICIAL PLAZA DRIVE ROOM M1
    ENGLISH, IN
    ZIP 47118
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1861487134
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2299725
LAB Type Other - JAIL MEDICAL UNIT
Facility Name CRAWFORD COUNTY JUDICIAL COMPLEX
Street 715 JUDICIAL PLAZA DRIVE ROOM M1
City ENGLISH
State IN
ZIP 47118
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 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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