CLIA lab
CLIA 42D0691387: Jackson First Alert Rescue Squad
Jackson, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D0691387 belongs to Jackson First Alert Rescue Squad in Jackson, SC.
Certificate of Waiver, effective May 17, 2026, expires May 16, 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
- May 17, 2026
- Certificate expiration
- May 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 1994
- Facility type
- Ambulance
- 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
- 42D0691387
- Lab name
- Jackson First Alert Rescue Squad
- Address
- 18908 Atomic Road, Jackson, SC 29831
- Phone
- (803) 471-2637
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Jackson First Alert Rescue Squad in Jackson?
42D0691387, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson First Alert Rescue Squad hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D0691387 expire?
The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.