CLIA lab
CLIA 14D0430934: Mendota Community Hospital DBA
Mendota, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0430934 belongs to Mendota Community Hospital DBA in Mendota, IL.
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
- January 19, 1993
- Facility type
- Hospital
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0430934
- Lab name
- Mendota Community Hospital DBA
- Additional name
- Osf Saint Paul Medical Center
- Address
- 1401 E 12th St, Mendota, IL 61342
- Phone
- (815) 539-1402
- Fax
- (815) 539-1440
Annual test volume the lab reported
- Waived tests
- 4,052
- Tests under accreditation
- 65,152
- Total
- 69,204
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- OSF Saint Paul Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Mendota, IL
- Abigail Women's ClinicCertificate of Waiver, Other14D1065631
- Allure of MendotaCertificate of Waiver, Skilled nursing or nursing facility14D2302078
- Cvs/Pharmacy #06897Certificate of Waiver, Pharmacy14D2282887
- Davis Family Health LLCCertificate of Waiver, Other practitioner14D2244209
- Osf Healthcare - Medical Group - MendotaCertificate of Waiver, Rural health clinic14D2043106
- Stonecroft Village Retirement CommunityCertificate of Waiver, Assisted living facility14D2209342
Related
Questions
What is the CLIA number for Mendota Community Hospital DBA in Mendota?
14D0430934, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mendota Community Hospital DBA hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 14D0430934 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.