24D2260482 CLIA NUMBER - JACKSON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 24D2260482
  • Facility Name: JACKSON COUNTY JAIL
  • Facility Address: 400 SHERMAN ST
    JACKSON, MN
    ZIP 56143
  • Facility Phone: 507 847-4420
  • Facility Type: Other - COUNTY JAIL CORRECTIONAL
  • Facility Type: Waiver
  • Lab Director: SHAWN HAKEN
  • NPI Number: 1063576965
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2260482
LAB Type Other - COUNTY JAIL CORRECTIONAL
Facility Name JACKSON COUNTY JAIL
Street 400 SHERMAN ST
City JACKSON
State MN
ZIP 56143
Phone 507 847-4420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Other - COUNTY JAIL CORRECTIONAL
Lab Director SHAWN HAKEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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