CLIA lab
CLIA 44D1105124: Madison Family Practice
Jackson, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D1105124 belongs to Madison Family Practice in Jackson, TN.
Certificate of Waiver, effective July 19, 2026, expires July 18, 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 19, 2026
- Certificate expiration
- July 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 16, 2009
- 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
- 44D1105124
- Lab name
- Madison Family Practice
- Address
- 621 G-Old Hickory Blvd, Jackson, TN 38305
- Phone
- (731) 660-6402
- Fax
- (731) 664-6603
Annual test volume the lab reported
- Waived tests
- 2,632
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 Madison Family Practice in Jackson?
44D1105124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Madison Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D1105124 expire?
The CMS file lists July 18, 2028 as the certificate expiration date; the certificate took effect July 19, 2026.