23D2204173 CLIA NUMBER - JACKSON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 23D2204173
  • Facility Name: JACKSON COUNTY JAIL
  • Facility Address: 212 W WESLEY STREET
    JACKSON, MI
    ZIP 49201
  • Facility Phone: 517 768-7919
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. COBURN
  • NPI Number: 1205851623
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 23D2204173
LAB Type Other - JAIL
Facility Name JACKSON COUNTY JAIL
Street 212 W WESLEY STREET
City JACKSON
State MI
ZIP 49201
Phone 517 768-7919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - JAIL
Lab Director MICHAEL D. COBURN

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