CLIA lab
CLIA 44D0969767: Jacobs Creek Job Corps CCC
Bristol, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0969767 belongs to Jacobs Creek Job Corps CCC in Bristol, TN.
Certificate of Waiver, effective January 25, 2026, expires January 24, 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
- January 25, 2026
- Certificate expiration
- January 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2000
- Facility type
- School or student health service
- Ownership (control type)
- Government, federal
- 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
- 44D0969767
- Lab name
- Jacobs Creek Job Corps CCC
- Additional name
- Wellness Center
- Address
- 984 Denton Valley Road, Bristol, TN 37620
- Phone
- (423) 878-4021
- Fax
- (423) 878-2298
Annual test volume the lab reported
- Waived tests
- 397
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ambulance Service of Bristol, IncCertificate of Waiver, Ambulance44D1098240
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- Appalachian Fertility and Endocrinology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office44D1084157
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Related
Questions
What is the CLIA number for Jacobs Creek Job Corps CCC in Bristol?
44D0969767, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jacobs Creek Job Corps CCC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0969767 expire?
The CMS file lists January 24, 2028 as the certificate expiration date; the certificate took effect January 25, 2026.