CLIA lab

CLIA 45D1095752: Jacksonville Hospital, LLC

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

CLIA number 45D1095752 belongs to Jacksonville Hospital, LLC in Jacksonville, TX.

Certificate of Waiver, effective October 31, 2024, expires October 30, 2026.

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
October 31, 2024
Certificate expiration
October 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 17, 2009
Facility type
Physician office
Ownership (control type)
Other
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
45D1095752
Lab name
Jacksonville Hospital, LLC
Address
203 Nacogdoches Suite 280, Attn Laboratory - Susan Campbell, Jacksonville, TX 75766
Phone
(903) 541-5396
Fax
(903) 541-5393

Annual test volume the lab reported

Waived tests
7,000

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

Other labs in Jacksonville, TX

Related

Questions

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

45D1095752, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacksonville Hospital, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1095752 expire?

The CMS file lists October 30, 2026 as the certificate expiration date; the certificate took effect October 31, 2024.

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