16D2266802 CLIA NUMBER - WAYNE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 16D2266802
  • Facility Name: WAYNE COUNTY JAIL
  • Facility Address: 207 NORTH LAFAYETTE ST
    CORYDON, IA
    ZIP 50060
  • Facility Phone: 641 872-1566
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: KIM GIBSON
  • NPI Number: 1497820971
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D2266802
LAB Type Other - COUNTY JAIL
Facility Name WAYNE COUNTY JAIL
Street 207 NORTH LAFAYETTE ST
City CORYDON
State IA
ZIP 50060
Phone 641 872-1566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Other - COUNTY JAIL
Lab Director KIM GIBSON

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