37D2304621 CLIA NUMBER - JOHNSTON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 37D2304621
  • Facility Name: JOHNSTON COUNTY JAIL
  • Facility Address: 110 N CAPITAL
    TISHOMINGO, OK
    ZIP 73460
  • Facility Phone: 580 371-2691
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: AARON BOLIN
  • NPI Number: 1508814310
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 37D2304621
LAB Type Other - COUNTY JAIL
Facility Name JOHNSTON COUNTY JAIL
Street 110 N CAPITAL
City TISHOMINGO
State OK
ZIP 73460
Phone 580 371-2691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Other - COUNTY JAIL
Lab Director AARON BOLIN

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