CLIA lab
CLIA 44D0931965: Island Park Beach Holdings, LLC
Jackson, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0931965 belongs to Island Park Beach Holdings, LLC in Jackson, TN.
Certificate of Waiver, effective August 8, 2025, expires August 7, 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
- August 8, 2025
- Certificate expiration
- August 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 8, 1997
- Facility type
- Skilled nursing or nursing facility
- 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
- 44D0931965
- Lab name
- Island Park Beach Holdings, LLC
- Additional name
- DBA West Tenneessee Post Acute
- Address
- 597 W Forest Ave, Jackson, TN 38301
- Phone
- (731) 300-4800
- Fax
- (731) 300-4862
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- West Tennessee Post AcuteCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Island Park Beach Holdings, LLC in Jackson?
44D0931965, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Island Park Beach Holdings, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0931965 expire?
The CMS file lists August 7, 2027 as the certificate expiration date; the certificate took effect August 8, 2025.