CLIA lab
CLIA 18D2168359: County Line Primary Care LLC DBA
Jackson, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2168359 belongs to County Line Primary Care LLC DBA in Jackson, KY.
Certificate of Waiver, effective June 27, 2025, expires June 26, 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
- June 27, 2025
- Certificate expiration
- June 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 2019
- Facility type
- Rural health clinic
- 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
- 18D2168359
- Lab name
- County Line Primary Care LLC DBA
- Additional name
- Jackson Medical Clinic Family Health
- Address
- 1550 Hwy 15 S Suite 240, Jackson, KY 41339
- Phone
- (606) 824-5037
- Fax
- (606) 668-2260
Annual test volume the lab reported
- Waived tests
- 1,200
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
- Clemente Zulueta, MD PLLCCertificate of Waiver, Physician office18D1027305
- 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 County Line Primary Care LLC DBA in Jackson?
18D2168359, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does County Line Primary Care LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2168359 expire?
The CMS file lists June 26, 2027 as the certificate expiration date; the certificate took effect June 27, 2025.