CLIA lab
CLIA 01D2074962: Jacksonville Family Medicine
Jacksonville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2074962 belongs to Jacksonville Family Medicine in Jacksonville, AL.
Certificate of Waiver, effective August 19, 2025, expires August 18, 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
- August 19, 2025
- Certificate expiration
- August 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2014
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 01D2074962
- Lab name
- Jacksonville Family Medicine
- Address
- 1465 1st Ave SW, Suite A, Jacksonville, AL 36265
- Phone
- (256) 435-2358
- Fax
- (256) 435-2346
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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
- Legacy Village of JacksonvilleCertificate of Waiver, Assisted living facility01D2047802
- 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 Jacksonville Family Medicine in Jacksonville?
01D2074962, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jacksonville Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2074962 expire?
The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.