26D2153727 CLIA NUMBER - CALLAWAY COUNTY SHERIFF'S OFFICE/JAIL

Laboratory Demographics

CLIA Code: 26D2153727
Facility Name: CALLAWAY COUNTY SHERIFF'S OFFICE/JAIL
Facility Address: 1201 STATE ROAD O
FULTON, MO
ZIP 65251
Facility Phone: 573 592-2458
Facility Type: Other - COUNTY JAIL
Facility Type: Waiver
Lab Director: DARRYL MAYLEE
NPI Number: 1104958040
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	26D2153727
LAB Type	Other - COUNTY JAIL
Facility Name	CALLAWAY COUNTY SHERIFF'S OFFICE/JAIL
Street	1201 STATE ROAD O
City	FULTON
State	MO
ZIP	65251
Phone	573 592-2458
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/29/2024
Certificate Expiration Date	8/28/2026
Facility Type	Other - COUNTY JAIL
Lab Director	DARRYL MAYLEE

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