CLIA lab
CLIA 44D1021137: West Tennessee ENT Clinic PA
Jackson, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D1021137 belongs to West Tennessee ENT Clinic PA in Jackson, TN.
Certificate of Waiver, effective October 10, 2024, expiration date October 9, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 10, 2024
- Certificate expiration
- October 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 2004
- 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
- 44D1021137
- Lab name
- West Tennessee ENT Clinic PA
- Address
- 619 Skyline Drive, Jackson, TN 38301
- Phone
- (731) 424-3682
- Fax
- (731) 423-2714
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for West Tennessee ENT Clinic PA in Jackson?
44D1021137, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does West Tennessee ENT Clinic PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D1021137 expire?
The CMS file lists October 9, 2026 as the certificate expiration date; the certificate took effect October 10, 2024.