CLIA lab

CLIA 45D0483617: Jacksonville Hospital, LLC

Jacksonville, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D0483617 belongs to Jacksonville Hospital, LLC in Jacksonville, TX.

Certificate of Accreditation, effective January 3, 2025, expires January 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 Accreditation
Certificate effective
January 3, 2025
Certificate expiration
January 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 21, 1992
Facility type
Hospital
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
The Joint Commission
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
45D0483617
Lab name
Jacksonville Hospital, LLC
Address
501 South Ragsdale, Attn Amanda Kennerly, Jacksonville, TX 75766
Phone
(903) 541-5152
Fax
(903) 541-5077

Annual test volume the lab reported

Waived tests
7,000
Tests under accreditation
367,473
Total
374,473

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Affiliated CLIA numbers

Other labs in Jacksonville, TX

Related

Questions

What is the CLIA number for Jacksonville Hospital, LLC in Jacksonville?

45D0483617, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacksonville Hospital, LLC hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 45D0483617 expire?

The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.

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