CLIA lab
CLIA 45D2200689: Country Place Senior Living
Jacksonville, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2200689 belongs to Country Place Senior Living in Jacksonville, TX.
Certificate of Waiver, effective November 17, 2024, expires November 16, 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
- November 17, 2024
- Certificate expiration
- November 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2020
- Facility type
- Assisted living 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
- 45D2200689
- Lab name
- Country Place Senior Living
- Address
- 2120 E Rusk Street, Jacksonville, TX 75766
- Phone
- (903) 284-6400
- Fax
- (903) 284-6635
Annual test volume the lab reported
- Waived tests
- 1,000
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 Country Place Senior Living in Jacksonville?
45D2200689, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Place Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2200689 expire?
The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.