CLIA lab
CLIA 11D2104420: Jefferson County Correctional Inst
Louisville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2104420 belongs to Jefferson County Correctional Inst in Louisville, GA.
Certificate of Waiver, effective November 4, 2025, expires November 3, 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
- November 4, 2025
- Certificate expiration
- November 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 2015
- Facility type
- Other
- 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
- 11D2104420
- Lab name
- Jefferson County Correctional Inst
- Address
- 1159 Clarks Mill Rd, Louisville, GA 30434
- Phone
- (423) 553-5635
- Fax
- (423) 553-5645
Annual test volume the lab reported
- Waived tests
- 375
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Louisville, GA
- Barneys Pharmacy LouisvilleCertificate of Waiver, Pharmacy11D2104370
- Jefferson County Board of EducationCertificate of Waiver, School or student health service11D2291059
- Jefferson County JailCertificate of Waiver, Other11D2303683
- Jefferson HospitalCertificate of Accreditation, Hospital11D0261004
- Louisville Dialysis Clinic LLCCertificate of Waiver, End stage renal disease dialysis facility11D0995432
- Multi Specialty ClinicCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D1063455
- Physicians Health GroupCertificate for Provider-Performed Microscopy Procedures, Physician office11D0260999
- Physicians Health GroupCertificate of Waiver, Physician office11D0906113
- Pruitthealth - Old CapitolCertificate of Waiver, Skilled nursing or nursing facility11D0645917
- Wellstar Ob/Gyn Jefferson CountyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2331301
Related
Questions
What is the CLIA number for Jefferson County Correctional Inst in Louisville?
11D2104420, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson County Correctional Inst hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2104420 expire?
The CMS file lists November 3, 2027 as the certificate expiration date; the certificate took effect November 4, 2025.