CLIA lab
CLIA 44D2008800: Jackson Clinic, PA Bolivar, the
Bolivar, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D2008800 belongs to Jackson Clinic, PA Bolivar, the in Bolivar, TN.
Certificate of Compliance, effective September 3, 2025, expires September 2, 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 Compliance
- Certificate effective
- September 3, 2025
- Certificate expiration
- September 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 44D2008800
- Lab name
- Jackson Clinic, PA Bolivar, the
- Address
- 622 West Market Street, Bolivar, TN 38008
- Phone
- (731) 658-2885
- Fax
- (731) 658-2886
Annual test volume the lab reported
- Waived tests
- 1,819
- Other nonwaived tests
- 8,706
- Total
- 10,525
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bolivar, TN
- Bolivar General HospitalCertificate of Accreditation, Hospital44D0700807
- Bolivar Health & Rehabilitation LLCCertificate of Waiver, Skilled nursing or nursing facility44D2328962
- Bolivar Operator LLCCertificate of Waiver, Skilled nursing or nursing facility44D0659298
- Brown Behavioral Health ServicesCertificate of Waiver, Rural health clinic44D2306686
- Christian Care Center of BolivarCertificate of Waiver, Skilled nursing or nursing facility44D2228167
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Physician office44D2171172
- Frix Jennings Clinic PCCertificate for Provider-Performed Microscopy Procedures, Physician office44D2011394
- Hardeman County Ambulance ServiceCertificate of Waiver, Ambulance44D0984113
- Hardeman County Board of EducationCertificate of Waiver, School or student health service44D2225404
- Hardeman County Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic44D0867795
Related
Questions
What is the CLIA number for Jackson Clinic, PA Bolivar, the in Bolivar?
44D2008800, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson Clinic, PA Bolivar, the hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 44D2008800 expire?
The CMS file lists September 2, 2027 as the certificate expiration date; the certificate took effect September 3, 2025.