CLIA lab
CLIA 19D1001042: Patricia A Jackson, MD
Marrero, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1001042 belongs to Patricia A Jackson, MD in Marrero, LA.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 28, 2026
- Certificate expiration
- June 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2002
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 19D1001042
- Lab name
- Patricia A Jackson, MD
- Address
- 1111 Medical Center Boulevard, Suite North 408, Marrero, LA 70072
- Phone
- (504) 349-2908
- Fax
- (504) 378-0019
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- David A Beary, MD ApmcCertificate for Provider-Performed Microscopy Procedures, Physician office19D0957588
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Related
Questions
What is the CLIA number for Patricia A Jackson, MD in Marrero?
19D1001042, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Patricia A Jackson, MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 19D1001042 expire?
The CMS file lists June 27, 2028 as the certificate expiration date; the certificate took effect June 28, 2026.