CLIA lab
CLIA 01D2047802: Legacy Village of Jacksonville
Jacksonville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2047802 belongs to Legacy Village of Jacksonville in Jacksonville, AL.
Certificate of Waiver, effective October 3, 2024, expiration date October 2, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 3, 2024
- Certificate expiration
- October 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2012
- Facility type
- Assisted living 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
- 01D2047802
- Lab name
- Legacy Village of Jacksonville
- Address
- 1116 James Hopkins Road SW, Jacksonville, AL 36265
- Phone
- (256) 782-0960
- Fax
- (256) 782-0964
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jacksonville, AL
- Clinical Urology Associates PCCertificate of Accreditation, Physician office01D2306947
- Crow Drug, IncCertificate of Waiver, Pharmacy01D2180349
- DR David Chandler OD PCCertificate of Waiver, Physician office01D2042543
- Doctors Med Care of Jacksonville PCCertificate of Compliance, Physician office01D1045512
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Other practitioner01D2284486
- Festok Pediatric CorpCertificate of Waiver, Physician office01D0887119
- Harbor at Legacy Village of Jacksonville, theCertificate of Waiver, Assisted living facility01D2061498
- Jacksonville Family MedicineCertificate of Waiver, Physician office01D2074962
- Rai-Henry RD JacksonvilleCertificate of Waiver, End stage renal disease dialysis facility01D1084100
- Regional Health Management Corp Jsu ClinicCertificate of Waiver, Physician office01D2154182
Related
Questions
What is the CLIA number for Legacy Village of Jacksonville in Jacksonville?
01D2047802, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Village of Jacksonville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2047802 expire?
The CMS file lists October 2, 2026 as the certificate expiration date; the certificate took effect October 3, 2024.