CLIA lab
CLIA 25D0697511: Forest Avenue Opco, LLC DBA Pine Forest Health and
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D0697511 belongs to Forest Avenue Opco, LLC DBA Pine Forest Health and in Jackson, MS.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 4, 1994
- Facility type
- Skilled nursing or nursing facility
- 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
- 25D0697511
- Lab name
- Forest Avenue Opco, LLC DBA Pine Forest Health and
- Additional name
- Rehabilitation
- Address
- 1116 Forest Avenue, Jackson, MS 39206
- Phone
- (601) 366-6461
Care facility at this address
- Pine Forest Health and RehabilitationCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Forest Avenue Opco, LLC DBA Pine Forest Health and in Jackson?
25D0697511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forest Avenue Opco, LLC DBA Pine Forest Health and hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D0697511 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.