36D0683916 CLIA NUMBER - MADISON CORRECTIONAL INSTITUTION

Laboratory Demographics

  • CLIA Code: 36D0683916
  • Facility Name: MADISON CORRECTIONAL INSTITUTION
  • Facility Address: 1851 STATE ROUTE 56
    LONDON, OH
    ZIP 43140
  • Facility Phone: 740 852-9777
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: CASSIE L. BARRETT
  • NPI Number: 1396250007
  • Taxonomy: 237600000X - Audiologist-Hearing Aid Fitter

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CLIA Record

Field Name Field Value
CLIA Number 36D0683916
LAB Type Prison
Facility Name MADISON CORRECTIONAL INSTITUTION
Street 1851 STATE ROUTE 56
City LONDON
State OH
ZIP 43140
Phone 740 852-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Prison
Lab Director CASSIE L. BARRETT

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