52D2274108 CLIA NUMBER - RACINE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 52D2274108
  • Facility Name: RACINE COUNTY JAIL
  • Facility Address: 717 WISCONSIN AVE
    RACINE, WI
    ZIP 53403
  • Facility Phone: 440 315-4868
  • Facility Type: Other - DETENTION FACILITY
  • Facility Type: Waiver
  • Lab Director: SHELLY VIETS
  • NPI Number: 1285039578
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 52D2274108
LAB Type Other - DETENTION FACILITY
Facility Name RACINE COUNTY JAIL
Street 717 WISCONSIN AVE
City RACINE
State WI
ZIP 53403
Phone 440 315-4868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Other - DETENTION FACILITY
Lab Director SHELLY VIETS

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