24D2145337 CLIA NUMBER - CHISAGO COUNTY SHERIFF'S OFFICE JAIL

Laboratory Demographics

  • CLIA Code: 24D2145337
  • Facility Name: CHISAGO COUNTY SHERIFF'S OFFICE JAIL
  • Facility Address: 15230 PER ROAD
    CENTER CITY, MN
    ZIP 55012
  • Facility Phone: 651 213-5765
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: JONATHAN GRAY
  • NPI Number: 1659408904
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 24D2145337
LAB Type Other - COUNTY JAIL
Facility Name CHISAGO COUNTY SHERIFF'S OFFICE JAIL
Street 15230 PER ROAD
City CENTER CITY
State MN
ZIP 55012
Phone 651 213-5765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Other - COUNTY JAIL
Lab Director JONATHAN GRAY

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