49D2245779 CLIA NUMBER - GLOUCESTER COUNTY SHERIFF'S OFFICE JAIL

Laboratory Demographics

  • CLIA Code: 49D2245779
  • Facility Name: GLOUCESTER COUNTY SHERIFF'S OFFICE JAIL
  • Facility Address: 7502 JUSTICE DR
    GLOUCESTER, VA
    ZIP 23061
  • Facility Phone: 804 693-1376
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MARTINA THOMAS
  • NPI Number: 1972993632
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 49D2245779
LAB Type Prison
Facility Name GLOUCESTER COUNTY SHERIFF'S OFFICE JAIL
Street 7502 JUSTICE DR
City GLOUCESTER
State VA
ZIP 23061
Phone 804 693-1376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Prison
Lab Director MARTINA THOMAS

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