34D2320727 CLIA NUMBER - GRANVILLE COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 34D2320727
  • Facility Name: GRANVILLE COUNTY DETENTION CENTER
  • Facility Address: 143 WILLIAMBORO STREET
    OXFORD, NC
    ZIP 27565
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1104683341
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2320727
LAB Type Other - JAIL MEDICAL UNIT
Facility Name GRANVILLE COUNTY DETENTION CENTER
Street 143 WILLIAMBORO STREET
City OXFORD
State NC
ZIP 27565
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 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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