23D2042751 CLIA NUMBER - TUSCOLA COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 23D2042751
  • Facility Name: TUSCOLA COUNTY JAIL
  • Facility Address: 420 COURT STREET SUITE 1
    CARO, MI
    ZIP 48723
  • Facility Phone: 989 673-8165
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: DAN LISOWSKI
  • NPI Number: 1215934534
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2042751
LAB Type Other - COUNTY JAIL
Facility Name TUSCOLA COUNTY JAIL
Street 420 COURT STREET SUITE 1
City CARO
State MI
ZIP 48723
Phone 989 673-8165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Other - COUNTY JAIL
Lab Director DAN LISOWSKI

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