CLIA lab
CLIA 14D0648270: Soderstrom Dermatology Center SC
Peoria, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0648270 belongs to Soderstrom Dermatology Center SC in Peoria, IL.
Certificate of Compliance, effective August 17, 2026, expires August 16, 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 Compliance
- Certificate effective
- August 17, 2026
- Certificate expiration
- August 16, 2028
- 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
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0648270
- Lab name
- Soderstrom Dermatology Center SC
- Address
- 4909 N Glen Park Place, Peoria, IL 61614
- Phone
- (309) 674-7546
Annual test volume the lab reported
- Other nonwaived tests
- 2,478
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Peoria, IL
- 1st Call Medical Practice, LLCCertificate of Waiver, Independent14D2254301
- Accolade of PeoriaCertificate of Waiver, Skilled nursing or nursing facility14D0697866
- American National Red Cross - Peoria, Il, theCertificate of Accreditation, Blood bank14D0646810
- Apostolic Christian SkylineCertificate of Waiver, Skilled nursing or nursing facility14D0432120
- Bickford CottageCertificate of Waiver, Assisted living facility14D2044102
- Bickford HouseCertificate of Waiver, Assisted living facility14D2043740
- Biomat USA, IncCertificate of Accreditation, Other14D0896569
- Bleeding and Clotting Disorders InstituteCertificate of Accreditation, Independent14D2041708
- Bob Michel VA OpcCertificate of Accreditation, Community clinic14D0988265
- Bradley Univ Student Health ServicesCertificate for Provider-Performed Microscopy Procedures, School or student health service14D0868978
Related
Questions
What is the CLIA number for Soderstrom Dermatology Center SC in Peoria?
14D0648270, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Soderstrom Dermatology Center SC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 14D0648270 expire?
The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.