CLIA lab
CLIA 14D0705560: Modert Family Practice
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0705560 belongs to Modert Family Practice in Mount Vernon, 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
- September 20, 1994
- Facility type
- Physician office
- 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
- 14D0705560
- Lab name
- Modert Family Practice
- Address
- #1 Doctor's Park Road - Suite C, Mount Vernon, IL 62864
- Phone
- (618) 244-1234
- Fax
- (618) 244-0435
Annual test volume the lab reported
- Waived tests
- 1,197
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 Modert Family Practice in Mount Vernon?
14D0705560, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Modert Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0705560 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.