CLIA lab

CLIA 45D1052264: Legacy at Jacksonville

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

CLIA number 45D1052264 belongs to Legacy at Jacksonville in Jacksonville, TX.

Certificate of Waiver, effective March 22, 2026, expires March 21, 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
March 22, 2026
Certificate expiration
March 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 22, 2006
Facility type
Skilled nursing or nursing facility
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
45D1052264
Lab name
Legacy at Jacksonville
Additional name
Jacksonville
Address
810 Bellaire Street, Jacksonville, TX 75766
Phone
(903) 586-9871
Fax
(817) 618-0051

Annual test volume the lab reported

Waived tests
15,150

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

Care facility at this address

Other labs in Jacksonville, TX

Related

Questions

What is the CLIA number for Legacy at Jacksonville in Jacksonville?

45D1052264, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Legacy at Jacksonville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1052264 expire?

The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.

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