CLIA lab
CLIA 14D0434047: Distinctive Dermatology
Fairview Heights, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0434047 belongs to Distinctive Dermatology in Fairview Heights, IL.
Certificate of Compliance, effective October 30, 2024, expires October 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- October 30, 2024
- Certificate expiration
- October 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 14D0434047
- Lab name
- Distinctive Dermatology
- Address
- 390 Office Ct, Fairview Heights, IL 62208
- Phone
- (618) 233-7666
- Fax
- (618) 233-7461
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 100
- Other nonwaived tests
- 4,100
- Total
- 4,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairview Heights, IL
- American National Red Cross Fairveiw Hghts, IlCertificate of Waiver, Other14D1007045
- Aveanna Healthcare - IlCertificate of Waiver, Home health agency14D2103717
- Biolife Plasma Services L PCertificate of Compliance, Other14D2291520
- CSL Plasma, IncCertificate of Compliance, Other14D2149652
- Care Access Research, Fairview HeightsCertificate of Waiver, Physician office14D2173856
- Center for Gastrointestinal Health, SCCertificate of Waiver, Physician office14D2241550
- Everside Health Fariview HeightsCertificate of Waiver, Physician office14D2257000
- Family Medicine Fairview HeightsCertificate of Waiver, Physician office14D2060195
- Heartland Hospice (Fairview Heights)Certificate of Waiver, Hospice14D2008238
- Illinois Center for AutismCertificate of Waiver, School or student health service14D2237086
Related
Questions
What is the CLIA number for Distinctive Dermatology in Fairview Heights?
14D0434047, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Distinctive Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 14D0434047 expire?
The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.