34D1049699 CLIA NUMBER - DAVIE COUNTY DETENTION CENTER

Laboratory Demographics

CLIA Code: 34D1049699
Facility Name: DAVIE COUNTY DETENTION CENTER
Facility Address: 135 GREEN STREET
MOCKSVILLE, NC
ZIP 27028
Facility Phone: 423 553-5635
Facility Type: Other
Facility Type: Waiver
Lab Director: FRANCESSIA JACKSON
NPI Number: 1194807552
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D1049699
LAB Type	Other
Facility Name	DAVIE COUNTY DETENTION CENTER
Street	135 GREEN STREET
City	MOCKSVILLE
State	NC
ZIP	27028
Phone	423 553-5635
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/22/2024
Certificate Expiration Date	12/21/2026
Facility Type	Other
Lab Director	FRANCESSIA JACKSON

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