CLIA lab
CLIA 14D0436229: Deaconess Illinois Specialty Clinic
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0436229 belongs to Deaconess Illinois Specialty Clinic in Mount Vernon, IL.
Certificate of Waiver, effective November 9, 2025, expires November 8, 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
- November 9, 2025
- Certificate expiration
- November 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 14D0436229
- Lab name
- Deaconess Illinois Specialty Clinic
- Additional name
- Deaconess Illinois Specialty Clinic Inc
- Address
- 209 Crossroads Place-Suite 150, Mount Vernon, IL 62864
- Phone
- (618) 244-6710
- Fax
- (618) 244-6779
Annual test volume the lab reported
- Waived tests
- 300
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 Deaconess Illinois Specialty Clinic in Mount Vernon?
14D0436229, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Deaconess Illinois Specialty Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0436229 expire?
The CMS file lists November 8, 2027 as the certificate expiration date; the certificate took effect November 9, 2025.