CLIA lab

CLIA 25D2119768: Jackson County Youth Court

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

CLIA number 25D2119768 belongs to Jackson County Youth Court in Pascagoula, MS.

Certificate of Waiver, effective April 25, 2026, expires April 24, 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
April 25, 2026
Certificate expiration
April 24, 2028
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
25D2119768
Lab name
Jackson County Youth Court
Address
4903 Telephone Road, Pascagoula, MS 39567
Phone
(228) 769-3248
Fax
(228) 769-3386

Annual test volume the lab reported

Waived tests
10

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

Other labs in Pascagoula, MS

Related

Questions

What is the CLIA number for Jackson County Youth Court in Pascagoula?

25D2119768, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jackson County Youth Court hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2119768 expire?

The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.

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