CLIA lab
CLIA 19D1088143: J Kevin Ingram Medical
Vidalia, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1088143 belongs to J Kevin Ingram Medical in Vidalia, LA.
Certificate of Waiver, effective August 18, 2026, expires August 17, 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
- August 18, 2026
- Certificate expiration
- August 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 2008
- 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
- 19D1088143
- Lab name
- J Kevin Ingram Medical
- Address
- 1154 Logan Sewell Dr, Vidalia, LA 71373
- Phone
- (318) 336-8166
- Fax
- (318) 336-8169
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Vidalia, LA
- Christus Trinity Clinic Cardiology - VidaliaCertificate of Waiver, Community clinic19D2308398
- Enhabit Hospice of VidaliaCertificate of Waiver, Hospice19D2022114
- Fairbanks Orthopedic CenterCertificate of Accreditation, Physician office19D2059403
- Intensive Home Healthcare and Hospice of LouisianaCertificate of Waiver, Hospice19D2016328
- Louisiana Ear Nose & Throat Specialists, IncCertificate of Waiver, Physician office19D2313762
- Medcentris Specialty GroupCertificate of Waiver, Physician office19D2255691
- Miss Lou Family HealthCertificate of Waiver, Other practitioner19D2267873
- Miss-Lou Eye CareCertificate of Waiver, Other25D2083284
- Pediatric and Adolescent Clinic of Louisiana LLCCertificate of Compliance, Rural health clinic19D1005933
- Renal Care Group-SoutheastCertificate of Waiver, End stage renal disease dialysis facility19D0693220
Related
Questions
What is the CLIA number for J Kevin Ingram Medical in Vidalia?
19D1088143, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does J Kevin Ingram Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1088143 expire?
The CMS file lists August 17, 2028 as the certificate expiration date; the certificate took effect August 18, 2026.