34D2184000 CLIA NUMBER - IREDELL COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 34D2184000
  • Facility Name: IREDELL COUNTY DETENTION CENTER
  • Facility Address: 221 E, WATER ST
    STATESVILLE, NC
    ZIP 28687
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: OLIVIA D. JONES
  • NPI Number: 1033238878
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 34D2184000
LAB Type Other - JAIL MEDICAL UNIT
Facility Name IREDELL COUNTY DETENTION CENTER
Street 221 E, WATER ST
City STATESVILLE
State NC
ZIP 28687
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 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director OLIVIA D. JONES

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