CLIA lab

CLIA 23D0378516: Henry Ford Jackson-Urology

Jackson, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D0378516 belongs to Henry Ford Jackson-Urology in Jackson, MI.

Certificate of Waiver, effective April 25, 2025, expires April 24, 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
April 25, 2025
Certificate expiration
April 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 10, 1993
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
23D0378516
Lab name
Henry Ford Jackson-Urology
Address
105 S East Avenue, Jackson, MI 49201
Phone
(517) 782-0200
Fax
(517) 784-1894

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jackson, MI

Related

Questions

What is the CLIA number for Henry Ford Jackson-Urology in Jackson?

23D0378516, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henry Ford Jackson-Urology hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0378516 expire?

The CMS file lists April 24, 2027 as the certificate expiration date; the certificate took effect April 25, 2025.

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