CLIA lab

CLIA 25D2009919: Jhchc at the Jackson Medical Mall

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

CLIA number 25D2009919 belongs to Jhchc at the Jackson Medical Mall in Jackson, MS.

Certificate for Provider-Performed Microscopy Procedures, effective July 16, 2026, expires July 15, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 16, 2026
Certificate expiration
July 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 16, 2010
Facility type
Federally qualified health center
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
25D2009919
Lab name
Jhchc at the Jackson Medical Mall
Address
350 West Woodrow Wilson Blvd, Jackson, MS 39213
Phone
(601) 362-5321
Fax
(601) 364-5159

Annual test volume the lab reported

Waived tests
30,000
Provider-performed microscopy tests
1,000
Total
31,000

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

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Related

Questions

What is the CLIA number for Jhchc at the Jackson Medical Mall in Jackson?

25D2009919, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jhchc at the Jackson Medical Mall hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 25D2009919 expire?

The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.

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