CLIA lab

CLIA 23D0709318: Henry Ford Jackson-North Street

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

CLIA number 23D0709318 belongs to Henry Ford Jackson-North Street in Jackson, MI.

Certificate of Waiver, effective January 4, 2025, expires January 3, 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
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 18, 1993
Facility type
Physician office
Ownership (control type)
Other
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
23D0709318
Lab name
Henry Ford Jackson-North Street
Address
1401 W North Street, Jackson, MI 49202
Phone
(517) 782-2555
Fax
(517) 782-3399

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 Jackson, MI

Related

Questions

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

23D0709318, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henry Ford Jackson-North Street hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0709318 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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