22D2171175 CLIA NUMBER - DUKES COUNTY JAIL & HOUSE OF CORRECTION

Laboratory Demographics

  • CLIA Code: 22D2171175
  • Facility Name: DUKES COUNTY JAIL & HOUSE OF CORRECTION
  • Facility Address: 149 MAIN ST
    EDGARTOWN, MA
    ZIP 02539
  • Facility Phone: 508 627-5173
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: AMANDA G. CIMENO
  • NPI Number: 1811885411
  • Taxonomy: 261QP2400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2171175
LAB Type Prison
Facility Name DUKES COUNTY JAIL & HOUSE OF CORRECTION
Street 149 MAIN ST
City EDGARTOWN
State MA
ZIP 02539
Phone 508 627-5173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Prison
Lab Director AMANDA G. CIMENO

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