CLIA lab

CLIA 01D2061498: Harbor at Legacy Village of Jacksonville, the

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

CLIA number 01D2061498 belongs to Harbor at Legacy Village of Jacksonville, the in Jacksonville, AL.

Certificate of Waiver, effective June 28, 2025, expires June 27, 2027.

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
June 28, 2025
Certificate expiration
June 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 28, 2013
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
01D2061498
Lab name
Harbor at Legacy Village of Jacksonville, the
Address
1116 James Hopkins Rd 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.

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Questions

What is the CLIA number for Harbor at Legacy Village of Jacksonville, the in Jacksonville?

01D2061498, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Harbor at Legacy Village of Jacksonville, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 01D2061498 expire?

The CMS file lists June 27, 2027 as the certificate expiration date; the certificate took effect June 28, 2025.

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