CLIA lab
CLIA 23D2058963: Mdoc Healthcare Southern Region
Jackson, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2058963 belongs to Mdoc Healthcare Southern Region in Jackson, MI.
Certificate of Waiver, effective May 15, 2025, expires May 14, 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
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 15, 2013
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 23D2058963
- Lab name
- Mdoc Healthcare Southern Region
- Address
- 3857 Cooper Street, Jackson, MI 49201
- Phone
- (906) 202-9081
Annual test volume the lab reported
- Waived tests
- 70,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, MI
- Arthur R Vendola, MDCertificate of Waiver, Physician office23D0971794
- Beacon Home at CascadesCertificate of Waiver, Other23D2159376
- Beacon Home at County FarmCertificate of Waiver, Other23D2182616
- Beacon Home at JacksonCertificate of Waiver, Other23D2159366
- Beacon Home at SheffieldCertificate of Waiver, Other23D2191084
- Blackman - Leoni DPSCertificate of Waiver, Other23D2219091
- Blake Woods Medical Park Surgery CenterCertificate of Waiver, Ambulatory surgery center23D0925941
- Brad Kremer PLLCCertificate of Waiver, Physician office23D2116926
- CSL Plasma, IncCertificate of Compliance, Other23D2153139
- Care That Matters Home Health Care LLCCertificate of Waiver, Home health agency23D2302759
Related
Questions
What is the CLIA number for Mdoc Healthcare Southern Region in Jackson?
23D2058963, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mdoc Healthcare Southern Region hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2058963 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.