CLIA lab
CLIA 25D2125792: Jackson Medical Mall Foundation
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2125792 belongs to Jackson Medical Mall Foundation in Jackson, MS.
Certificate of Waiver, effective February 14, 2025, expires February 13, 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 Waiver
- Certificate effective
- February 14, 2025
- Certificate expiration
- February 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 14, 2017
- Facility type
- Other
- 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
- 25D2125792
- Lab name
- Jackson Medical Mall Foundation
- Address
- 350 W Woodrow Wilson Ste 101, Jackson, MS 39213
- Phone
- (601) 982-8467
- Fax
- (601) 982-8468
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Jackson Medical Mall Foundation in Jackson?
25D2125792, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson Medical Mall Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2125792 expire?
The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.