44D2094168 CLIA NUMBER - BEDFORD COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 44D2094168
  • Facility Name: BEDFORD COUNTY JAIL
  • Facility Address: 112 NORTHCREEK DRIVE
    SHELBYVILLE, TN
    ZIP 37160
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: JOHNATHAN JET
  • NPI Number: 1811007370
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2094168
LAB Type Other - JAIL MEDICAL UNIT
Facility Name BEDFORD COUNTY JAIL
Street 112 NORTHCREEK DRIVE
City SHELBYVILLE
State TN
ZIP 37160
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 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director JOHNATHAN JET

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