CLIA lab

CLIA 11D2092853: Jacobs Clinic, Inc

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

CLIA number 11D2092853 belongs to Jacobs Clinic, Inc in Waycross, GA.

Certificate of Waiver, effective March 16, 2025, expires March 15, 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
March 16, 2025
Certificate expiration
March 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 16, 2015
Facility type
Other practitioner
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
11D2092853
Lab name
Jacobs Clinic, Inc
Address
403A Lister Street, Waycross, GA 31501
Phone
(000) 912-2834
Fax
(912) 283-4866

Annual test volume the lab reported

Waived tests
750

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 Jacobs Clinic, Inc in Waycross?

11D2092853, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacobs Clinic, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2092853 expire?

The CMS file lists March 15, 2027 as the certificate expiration date; the certificate took effect March 16, 2025.

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