45D2285586 CLIA NUMBER - LIMESTONE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 45D2285586
  • Facility Name: LIMESTONE COUNTY JAIL
  • Facility Address: 912 N TYUS STREET
    GROESBECK, TX
    ZIP 76642
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1083661144
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2285586
LAB Type Other - JAIL MEDICAL UNIT
Facility Name LIMESTONE COUNTY JAIL
Street 912 N TYUS STREET
City GROESBECK
State TX
ZIP 76642
Phone 423 206-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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