CLIA lab
CLIA 25D2119767: Jackson County Adult Detention Center
Pascagoula, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2119767 belongs to Jackson County Adult Detention Center in Pascagoula, MS.
Certificate of Waiver, effective October 4, 2024, expiration date October 3, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 4, 2024
- Certificate expiration
- October 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2016
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 25D2119767
- Lab name
- Jackson County Adult Detention Center
- Address
- 65 Bruce Evans Drive, Pascagoula, MS 39567
- Phone
- (228) 769-3249
- Fax
- (228) 769-3389
Annual test volume the lab reported
- Waived tests
- 2,000
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 Jackson County Adult Detention Center in Pascagoula?
25D2119767, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson County Adult Detention Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2119767 expire?
The CMS file lists October 3, 2026 as the certificate expiration date; the certificate took effect October 4, 2024.