23D2172808 CLIA NUMBER - DELTA COUNTY CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 23D2172808
  • Facility Name: DELTA COUNTY CORRECTIONAL FACILITY
  • Facility Address: 2800 COLLEGE AVENUE
    ESCANABA, MI
    ZIP 49829
  • Facility Phone: 906 786-3633
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: JASON P. THIBEAULT
  • NPI Number: 1205011624
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2172808
LAB Type Prison
Facility Name DELTA COUNTY CORRECTIONAL FACILITY
Street 2800 COLLEGE AVENUE
City ESCANABA
State MI
ZIP 49829
Phone 906 786-3633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Prison
Lab Director JASON P. THIBEAULT

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