CLIA lab
CLIA 44D0965624: Pediatric Choice Clinic
Jacksboro, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0965624 belongs to Pediatric Choice Clinic in Jacksboro, TN.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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
- July 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 1999
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 44D0965624
- Lab name
- Pediatric Choice Clinic
- Address
- 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757
- Phone
- (865) 986-1400
- Fax
- (865) 986-9400
Annual test volume the lab reported
- Waived tests
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jacksboro, TN
- Access Medical Clinic LLCCertificate of Waiver, Physician office44D2336371
- Camelot Care Centers, LLCCertificate of Waiver, Other44D2157065
- Crossroads Treatment Centers of Tennessee, PCCertificate of Waiver, Physician office44D2189623
- Elev8 Anti-Aging and PerformanceCertificate of Waiver, Physician office44D2318364
- Jacksboro Urgent CareCertificate of Waiver, Physician office44D2165759
- Lafollette Health ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office44D0991075
- Myeyedr Optometry of Tennessee, LLCCertificate of Waiver, Physician office44D2344094
- Renovation Health and Wellness, LLCCertificate of Waiver, Other practitioner44D2005855
- Rha Ali 2Certificate of Waiver, Intermediate care facility for individuals with intellectual disabilities44D2328654
- Rha Ali 3Certificate of Waiver, Intermediate care facility for individuals with intellectual disabilities44D2223221
Related
Questions
What is the CLIA number for Pediatric Choice Clinic in Jacksboro?
44D0965624, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Choice Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0965624 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.