45D2303360 CLIA NUMBER - LEON COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 45D2303360
  • Facility Name: LEON COUNTY JAIL
  • Facility Address: 606 EAST ST MARY'S STREET
    CENTERVILLE, TX
    ZIP 75833
  • Facility Phone: 432 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: POWELL POWELL
  • NPI Number: 1548621303
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 45D2303360
LAB Type Other - JAIL MEDICAL UNIT
Facility Name LEON COUNTY JAIL
Street 606 EAST ST MARY'S STREET
City CENTERVILLE
State TX
ZIP 75833
Phone 432 206-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director POWELL POWELL

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