CLIA lab
CLIA 14D0434204: Southern Obstetric & Gynecologic Assoc
Breese, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0434204 belongs to Southern Obstetric & Gynecologic Assoc in Breese, IL.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 2028.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- 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
- 14D0434204
- Lab name
- Southern Obstetric & Gynecologic Assoc
- Address
- 9447 Holy Cross Ln, Breese, IL 62230
- Phone
- (618) 526-2209
- Fax
- (618) 526-7372
Annual test volume the lab reported
- Provider-performed microscopy tests
- 369
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Breese, IL
- Cedarhurst of BreeseCertificate of Waiver, Assisted living facility14D2202938
- Clarkson Optometry Illinois, PCCertificate of Waiver, Physician office14D2094022
- Clinton County Rural Health BreeseCertificate of Waiver, Rural health clinic14D0676038
- Comprehensive Care PharmacyCertificate of Waiver, Pharmacy14D2252408
- Evercare of BreeseCertificate of Waiver, Skilled nursing or nursing facility14D0434200
- Gerio Primary CareCertificate of Waiver, Rural health clinic14D2315791
- Hshs Med Group General Surgery-BreeseCertificate of Waiver, Physician office14D2086592
- North Main BreeseCertificate of Waiver, End stage renal disease dialysis facility14D1010314
- ST Joseph's Hospital Breese IlCertificate of Accreditation, Hospital14D0434205
- The Villas at ST JamesCertificate of Waiver, Assisted living facility14D2214828
Related
Questions
What is the CLIA number for Southern Obstetric & Gynecologic Assoc in Breese?
14D0434204, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Obstetric & Gynecologic Assoc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0434204 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.