CLIA lab
CLIA 14D0876269: Jefferson County Health Dept
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0876269 belongs to Jefferson County Health Dept in Mount Vernon, IL.
Certificate of Waiver, effective June 26, 2025, expires June 25, 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
- June 26, 2025
- Certificate expiration
- June 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 1993
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 14D0876269
- Lab name
- Jefferson County Health Dept
- Address
- 4102 S Water Tower Place, Mount Vernon, IL 62864
- Phone
- (618) 244-7134
- Fax
- (618) 244-2640
Annual test volume the lab reported
- Waived tests
- 500
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 Jefferson County Health Dept in Mount Vernon?
14D0876269, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson County Health Dept hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0876269 expire?
The CMS file lists June 25, 2027 as the certificate expiration date; the certificate took effect June 26, 2025.