26D2305872 CLIA NUMBER - JOHNSON COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 26D2305872
  • Facility Name: JOHNSON COUNTY DETENTION CENTER
  • Facility Address: 278 SW 871 - JAIL MEDICAL UNIT
    CENTERVIEW, MO
    ZIP 64019
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1891913588
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 26D2305872
LAB Type Other - JAIL MEDICAL UNIT
Facility Name JOHNSON COUNTY DETENTION CENTER
Street 278 SW 871 - JAIL MEDICAL UNIT
City CENTERVIEW
State MO
ZIP 64019
Phone 423 206-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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