CLIA lab
CLIA 14D0436272: Mount Vernon Dialysis
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0436272 belongs to Mount Vernon Dialysis in Mount Vernon, IL.
Certificate of Waiver, effective December 23, 2025, expires December 22, 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
- December 23, 2025
- Certificate expiration
- December 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 15, 1992
- Facility type
- End stage renal disease dialysis facility
- 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
- 14D0436272
- Lab name
- Mount Vernon Dialysis
- Additional name
- Renal Life Link Inc
- Address
- 4102 N Water Tower Pl, Mount Vernon, IL 62864
- Phone
- (618) 244-1703
- Fax
- (618) 244-1857
Care facility at this address
- DaVita Mount Vernon DialysisCMS Care Compare ratings for the facility at the same street address
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- Axiom Gardens of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321261
- Axiom Healthcare of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321257
- Cheryl Emmons MD SCCertificate of Waiver, Physician office14D0979884
Related
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Questions
What is the CLIA number for Mount Vernon Dialysis in Mount Vernon?
14D0436272, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mount Vernon Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0436272 expire?
The CMS file lists December 22, 2027 as the certificate expiration date; the certificate took effect December 23, 2025.