34D2079048 CLIA NUMBER - ONSLOW COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 34D2079048
  • Facility Name: ONSLOW COUNTY JAIL
  • Facility Address: 717 COURT STREET
    JACKSONVILLE, NC
    ZIP 28540
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: MIKEALA MARMELO
  • NPI Number: 1306988753
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 34D2079048
LAB Type Other - JAIL MEDICAL UNIT
Facility Name ONSLOW COUNTY JAIL
Street 717 COURT STREET
City JACKSONVILLE
State NC
ZIP 28540
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 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director MIKEALA MARMELO

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