CLIA lab

CLIA 14D0723758: Jacksonville Dialysis

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

CLIA number 14D0723758 belongs to Jacksonville Dialysis in Jacksonville, 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
April 4, 1994
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D0723758
Lab name
Jacksonville Dialysis
Address
1515 W Walnut St, Jacksonville, IL 62650
Phone
(217) 243-3042
Fax
(217) 243-1365

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.

Affiliated CLIA numbers

Other labs in Jacksonville, IL

Related

Questions

What is the CLIA number for Jacksonville Dialysis in Jacksonville?

14D0723758, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jacksonville Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0723758 expire?

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

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