CLIA lab
CLIA 25D2121786: NE Jackson TC LLC
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2121786 belongs to NE Jackson TC LLC in Jackson, MS.
Certificate of Compliance, effective May 11, 2025, expires May 10, 2027.
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 Compliance
- Certificate effective
- May 11, 2025
- Certificate expiration
- May 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2121786
- Lab name
- NE Jackson TC LLC
- Address
- 4880 I 55 Frontage Rd N, Jackson, MS 39211
- Phone
- (601) 487-9199
- Fax
- (601) 487-9198
Annual test volume the lab reported
- Waived tests
- 14,513
- Other nonwaived tests
- 6,450
- Total
- 20,963
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 NE Jackson TC LLC in Jackson?
25D2121786, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does NE Jackson TC LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2121786 expire?
The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.