45D2233221 CLIA NUMBER - HARRISON COUNTY JAIL

Laboratory Demographics

CLIA Number: 45D2233221

Facility Name: HARRISON COUNTY JAIL

Facility Address:
200 W HOUSTON STREET
MARSHALL, TX
ZIP 75670
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver

NPI Number: 1144293978

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2233221
LAB Type	Other - JAIL MEDICAL UNIT
Facility Name	HARRISON COUNTY JAIL
Street	200 W HOUSTON STREET
City	MARSHALL
State	TX
ZIP	75670
Phone	423 553-5635
CertificateType	4
CertificateEffectiveDate	8/20/2023
CertificateExpirationDate	8/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024