CLIA lab
CLIA 18D1027305: Clemente Zulueta, MD PLLC
Jackson, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D1027305 belongs to Clemente Zulueta, MD PLLC in Jackson, KY.
Certificate of Waiver, effective June 28, 2026, expires June 27, 2028.
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, 2026
- Certificate expiration
- June 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2004
- Facility type
- Physician office
- 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
- 18D1027305
- Lab name
- Clemente Zulueta, MD PLLC
- Address
- 726 Highway 15 North Suite #5, Jackson, KY 41339
- Phone
- (606) 693-1078
- Fax
- (606) 693-1079
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, KY
- Aaron K Jonan Memorial ClinicCertificate of Waiver, Rural health clinic18D0862338
- Breathitt County Health DepartmentCertificate of Waiver, Other18D1073011
- County Line Primary Care LLC DBACertificate of Waiver, Rural health clinic18D2168359
- Family Medical Specialty ClinicCertificate of Waiver, Physician office18D1003602
- Family Pharmacy of JacksonCertificate of Waiver, Pharmacy18D2239214
- Flying Eye PLLC DBA Kentucky Eye CenterCertificate of Waiver, Physician office18D2299433
- Fresenius Medical Care of JacksonCertificate of Waiver, End stage renal disease dialysis facility18D1031906
- Jackson Womens CareCertificate of Waiver, Physician office18D2307454
- Juniper Health Breathitt County Elementary SchoolCertificate of Waiver, Federally qualified health center18D2295428
- Juniper Health Breathitt County High SchoolCertificate of Waiver, Federally qualified health center18D2295456
Related
Questions
What is the CLIA number for Clemente Zulueta, MD PLLC in Jackson?
18D1027305, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clemente Zulueta, MD PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D1027305 expire?
The CMS file lists June 27, 2028 as the certificate expiration date; the certificate took effect June 28, 2026.