18D2150287 CLIA NUMBER - CRITTENDEN CO JAIL

Laboratory Demographics

  • CLIA Code: 18D2150287
  • Facility Name: CRITTENDEN CO JAIL
  • Facility Address: 208 W CARISLE STREET
    MARION, KY
    ZIP 42064
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: MS. MELODY BECKER
  • NPI Number: 1851376958
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2150287
LAB Type Other - JAIL MEDICAL UNIT
Facility Name CRITTENDEN CO JAIL
Street 208 W CARISLE STREET
City MARION
State KY
ZIP 42064
Phone 423 553-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director MS. MELODY BECKER

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