23D2206417 CLIA NUMBER - IONIA COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 23D2206417
  • Facility Name: IONIA COUNTY JAIL
  • Facility Address: 133 EAST ADAMS
    IONIA, MI
    ZIP 48846
  • Facility Phone: 989 640-4449
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: SHAUN M. MOON
  • NPI Number: 1679585319
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 23D2206417
LAB Type Other - COUNTY JAIL
Facility Name IONIA COUNTY JAIL
Street 133 EAST ADAMS
City IONIA
State MI
ZIP 48846
Phone 989 640-4449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Other - COUNTY JAIL
Lab Director SHAUN M. MOON

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