CLIA lab
CLIA 10D1004546: ER Physician Group at Jackson Hospital
Marianna, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1004546 belongs to ER Physician Group at Jackson Hospital in Marianna, FL.
Certificate of Waiver, effective October 1, 2024, expiration date September 30, 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 1, 2024
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2002
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 10D1004546
- Lab name
- ER Physician Group at Jackson Hospital
- Additional name
- Csms - Panhandle Family Care Associates
- Address
- 4284 Kelson Ave, Marianna, FL 32446
- Phone
- (850) 718-2591
- Fax
- (850) 718-2803
Annual test volume the lab reported
- Waived tests
- 2,500
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 ER Physician Group at Jackson Hospital in Marianna?
10D1004546, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ER Physician Group at Jackson Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1004546 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect October 1, 2024.