44D2200846 CLIA NUMBER - GREENE COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 44D2200846
  • Facility Name: GREENE COUNTY DETENTION CENTER
  • Facility Address: 120 E DEPOT STREET
    GREENEVILLE, TN
    ZIP 37745
  • Facility Phone: 423 798-1811
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH MATHEWS
  • NPI Number: 1912930926
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2200846
LAB Type Prison
Facility Name GREENE COUNTY DETENTION CENTER
Street 120 E DEPOT STREET
City GREENEVILLE
State TN
ZIP 37745
Phone 423 798-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Prison
Lab Director DR. KENNETH MATHEWS

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