CLIA lab

CLIA 14D0908128: Mazon Healthcare Center

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

CLIA number 14D0908128 belongs to Mazon Healthcare Center in Mazon, IL.

Certificate of Waiver, effective October 30, 2025, expires October 29, 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
October 30, 2025
Certificate expiration
October 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 30, 1995
Facility type
Physician office
Ownership (control type)
Other
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
14D0908128
Lab name
Mazon Healthcare Center
Address
522 Depot Street, Mazon, IL 60444
Phone
(815) 448-2423
Fax
(815) 448-2033

Annual test volume the lab reported

Waived tests
720

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

Related

Questions

What is the CLIA number for Mazon Healthcare Center in Mazon?

14D0908128, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mazon Healthcare Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0908128 expire?

The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.

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