CLIA lab
CLIA 25D2223088: Urj Jacobs Camp Health Center
Utica, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2223088 belongs to Urj Jacobs Camp Health Center in Utica, MS.
Certificate of Waiver, effective May 4, 2025, expires May 3, 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
- May 4, 2025
- Certificate expiration
- May 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 4, 2021
- Facility type
- Independent
- Ownership (control type)
- Religious affiliation
- 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
- 25D2223088
- Lab name
- Urj Jacobs Camp Health Center
- Address
- 3863 Morrison Road, Utica, MS 39175
- Phone
- (601) 885-6042
- Fax
- (601) 885-6269
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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Related
Questions
What is the CLIA number for Urj Jacobs Camp Health Center in Utica?
25D2223088, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Urj Jacobs Camp Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2223088 expire?
The CMS file lists May 3, 2027 as the certificate expiration date; the certificate took effect May 4, 2025.