CLIA lab

CLIA 01D1084100: Rai-Henry RD Jacksonville

Jacksonville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 01D1084100 belongs to Rai-Henry RD Jacksonville in Jacksonville, AL.

Certificate of Waiver, effective May 16, 2026, expires May 15, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 16, 2026
Certificate expiration
May 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 16, 2008
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
01D1084100
Lab name
Rai-Henry RD Jacksonville
Address
331 Henry Road SW, Jacksonville, AL 36265
Phone
(256) 435-3161
Fax
(256) 435-6121

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Rai-Henry RD Jacksonville in Jacksonville?

01D1084100, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rai-Henry RD Jacksonville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 01D1084100 expire?

The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.

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