CLIA lab
CLIA 14D0430589: Mercyone Fulton Family Medicine
Fulton, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0430589 belongs to Mercyone Fulton Family Medicine in Fulton, IL.
Certificate of Waiver, effective April 4, 2025, expires April 3, 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 Waiver
- Certificate effective
- April 4, 2025
- Certificate expiration
- April 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 14D0430589
- Lab name
- Mercyone Fulton Family Medicine
- Address
- 1705 16th Av, Fulton, IL 61252
- Phone
- (815) 589-2121
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 Mercyone Fulton Family Medicine in Fulton?
14D0430589, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercyone Fulton Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0430589 expire?
The CMS file lists April 3, 2027 as the certificate expiration date; the certificate took effect April 4, 2025.