CLIA lab
CLIA 18D2300365: Jackson Purchase Primary Care - Southside Clinic
Mayfield, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2300365 belongs to Jackson Purchase Primary Care - Southside Clinic in Mayfield, KY.
Certificate of Waiver, effective March 8, 2026, expires March 7, 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
- March 8, 2026
- Certificate expiration
- March 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 8, 2024
- Facility type
- Community 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
- 18D2300365
- Lab name
- Jackson Purchase Primary Care - Southside Clinic
- Address
- 1206 Paris Rd Suite B, Mayfield, KY 42066
- Phone
- (270) 251-4115
- Fax
- (270) 251-4118
Annual test volume the lab reported
- Waived tests
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mayfield, KY
- Air -Evac 108Certificate of Waiver, Ambulance18D2039683
- Baptist Health Medical Group Primary CareCertificate of Waiver, Physician office18D2323610
- Bluegrass Wellness MedicineCertificate of Waiver, Physician office18D2338630
- Bungalows at MayfieldCertificate of Waiver, Other18D2196791
- Fast Pace Kentucky, PLLCCertificate of Waiver, Physician office18D2112177
- Fern Terrace Lodge of MayfieldCertificate of Waiver, Other18D1012490
- Gibson's Pharmacy SouthsideCertificate of Waiver, Pharmacy18D2171738
- Graves County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory18D2005709
- Graves County High SchoolCertificate of Waiver, School or student health service18D2222975
- Graves County JailCertificate of Waiver, Prison18D2197331
Related
Questions
What is the CLIA number for Jackson Purchase Primary Care - Southside Clinic in Mayfield?
18D2300365, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson Purchase Primary Care - Southside Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2300365 expire?
The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.