CLIA lab
CLIA 25D2016167: Moore Healthy Family Medical Clinic, LLC
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2016167 belongs to Moore Healthy Family Medical Clinic, LLC in Jackson, MS.
Certificate of Waiver, effective August 27, 2026, expires August 26, 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
- August 27, 2026
- Certificate expiration
- August 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 12, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2016167
- Lab name
- Moore Healthy Family Medical Clinic, LLC
- Address
- 5604 Old Canton Road, Jackson, MS 39211
- Phone
- (601) 991-1044
- Fax
- (601) 991-9868
Annual test volume the lab reported
- Waived tests
- 7,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jackson, MS
- A Bridge To RecoveryCertificate of Waiver, Physician office25D1103964
- A Step Ahead Homecare, LLCCertificate of Waiver, Home health agency25D2312576
- A Terrel Williams MD/ Denise E Phillips MDCertificate of Waiver, Physician office25D2053388
- Aaa Jackson Drug and Alcohol Testing LLCCertificate of Waiver, Other practitioner25D2048545
- Abundant Living Community Organizations, IncCertificate of Waiver, Health fair25D2341080
- Aids Healthcare FoundationCertificate of Waiver, Physician office25D2050092
- Alcohol Services CenterCertificate of Waiver, Comprehensive outpatient rehab facility25D2164632
- Alyce G Clarke Center for Medically FragileCertificate of Compliance, Skilled nursing or nursing facility25D2332133
- American Medical Response IncCertificate of Waiver, Ambulance25D0719445
- Associated Pathologists, LLCCertificate of Accreditation, Independent25D2303755
Related
Questions
What is the CLIA number for Moore Healthy Family Medical Clinic, LLC in Jackson?
25D2016167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moore Healthy Family Medical Clinic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2016167 expire?
The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.