52D2296937 CLIA NUMBER - DOOR COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 52D2296937
  • Facility Name: DOOR COUNTY JAIL
  • Facility Address: 1203 S DULUTH AVE
    STURGEON BAY, WI
    ZIP 54235
  • Facility Phone: 423 206-2002
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: TONYA POWELL
  • NPI Number: 1356391718
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2296937
LAB Type Other - JAIL MEDICAL UNIT
Facility Name DOOR COUNTY JAIL
Street 1203 S DULUTH AVE
City STURGEON BAY
State WI
ZIP 54235
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 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Other - JAIL MEDICAL UNIT
Lab Director TONYA POWELL

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