CLIA lab

CLIA 14D0436466: Mulberry Manor Inc

Anna, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D0436466 belongs to Mulberry Manor Inc in Anna, IL.

Certificate of Waiver, 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 of Waiver
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 12, 1993
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
14D0436466
Lab name
Mulberry Manor Inc
Address
612 E Davie St, Anna, IL 62906
Phone
(618) 833-6012
Fax
(618) 833-6011

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Anna, IL

Related

Questions

What is the CLIA number for Mulberry Manor Inc in Anna?

14D0436466, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mulberry Manor Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0436466 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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