CLIA lab

CLIA 14D0889784: Lifestar Ambulance Service Inc

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

CLIA number 14D0889784 belongs to Lifestar Ambulance Service Inc in Centralia, IL.

Certificate of Waiver, effective August 4, 2026, expires August 3, 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
August 4, 2026
Certificate expiration
August 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 4, 1994
Facility type
Mobile lab
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
14D0889784
Lab name
Lifestar Ambulance Service Inc
Address
940 N Elm Street, Centralia, IL 62801
Phone
(309) 347-6612

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Centralia, IL

Related

Questions

What is the CLIA number for Lifestar Ambulance Service Inc in Centralia?

14D0889784, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lifestar Ambulance Service Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0889784 expire?

The CMS file lists August 3, 2028 as the certificate expiration date; the certificate took effect August 4, 2026.

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