CLIA lab
CLIA 44D0914968: Lawrence Richard Jackson JR MD
Waverly, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0914968 belongs to Lawrence Richard Jackson JR MD in Waverly, TN.
Certificate of Waiver, effective May 15, 2026, expires May 14, 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 15, 2026
- Certificate expiration
- May 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 15, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 44D0914968
- Lab name
- Lawrence Richard Jackson JR MD
- Address
- 104 Hillwood Dr, Waverly, TN 37185
- Phone
- (615) 296-3555
Annual test volume the lab reported
- Waived tests
- 90
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fast Pace MedicalCertificate of Waiver, Physician office44D2100905
- Humphreys County Care and RehabCertificate of Waiver, Skilled nursing or nursing facility44D0904519
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- Humphreys County JailCertificate of Waiver, Other44D2075125
- Humphreys County School DistrictCertificate of Waiver, School or student health service44D2320265
Related
Questions
What is the CLIA number for Lawrence Richard Jackson JR MD in Waverly?
44D0914968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lawrence Richard Jackson JR MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0914968 expire?
The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.