45D2303363 CLIA NUMBER - BLANCO COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 45D2303363
  • Facility Name: BLANCO COUNTY JAIL
  • Facility Address: 400 S. US HIGHWAY 281
    JOHNSON CITY, TX
    ZIP 78636
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1336867167
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2303363
LAB Type Other - JAIL MEDICAL UNIT
Facility Name BLANCO COUNTY JAIL
Street 400 S. US HIGHWAY 281
City JOHNSON CITY
State TX
ZIP 78636
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 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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