23D0714493 CLIA NUMBER - BERRIEN COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 23D0714493
  • Facility Name: BERRIEN COUNTY JAIL
  • Facility Address: 919 PORT STREET
    ST JOSEPH, MI
    ZIP 49085
  • Facility Phone: 269 983-7141
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: SHELLY VIETS
  • NPI Number: 1033644638
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 23D0714493
LAB Type Other - COUNTY JAIL
Facility Name BERRIEN COUNTY JAIL
Street 919 PORT STREET
City ST JOSEPH
State MI
ZIP 49085
Phone 269 983-7141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - COUNTY JAIL
Lab Director SHELLY VIETS

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