19D2100347 CLIA NUMBER - JACKSON PARISH CORRECTIONAL CENTER

Laboratory Demographics

CLIA Number: 19D2100347

Facility Name: JACKSON PARISH CORRECTIONAL CENTER

Facility Address:
287 INDUSTRIAL DRIVE
JONESBORO, LA
ZIP 71251
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Facility Phone Number: 318 259-4309

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1992845564

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 19D2100347
LAB Type Prison
Facility Name JACKSON PARISH CORRECTIONAL CENTER
Street 287 INDUSTRIAL DRIVE
City JONESBORO
State LA
ZIP 71251
Phone 318 259-4309
CertificateType 4
CertificateEffectiveDate 8/12/2023
CertificateExpirationDate 8/11/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024