CLIA lab
CLIA 25D2267789: Willowood Developmental Center
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2267789 belongs to Willowood Developmental Center in Jackson, MS.
Certificate of Waiver, effective August 31, 2026, expires August 30, 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
- August 31, 2026
- Certificate expiration
- August 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2022
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Private
- 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
- 25D2267789
- Lab name
- Willowood Developmental Center
- Address
- 1635 Boling St, Jackson, MS 39213
- Phone
- (601) 366-0123
- Fax
- (601) 366-0149
Annual test volume the lab reported
- Waived tests
- 5,000
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 Willowood Developmental Center in Jackson?
25D2267789, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willowood Developmental Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2267789 expire?
The CMS file lists August 30, 2028 as the certificate expiration date; the certificate took effect August 31, 2026.