CLIA lab
CLIA 14D0917950: Southern Illinois Dermatology
Herrin, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0917950 belongs to Southern Illinois Dermatology in Herrin, IL.
Certificate of Compliance, effective August 2, 2024, expires October 31, 2026.
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 Compliance
- Certificate effective
- August 2, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0917950
- Lab name
- Southern Illinois Dermatology
- Address
- 220 N Park Avenue, Herrin, IL 62948
- Phone
- (618) 942-3344
- Fax
- (618) 942-5045
Annual test volume the lab reported
- Provider-performed microscopy tests
- 10
- Other nonwaived tests
- 4,633
- Total
- 4,643
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Herrin, IL
- Advanced Surgical Technology, LLCCertificate of Compliance, Physician office14D2256857
- Herrin Drug IncCertificate of Waiver, Pharmacy14D0045076
- Herrin Hospital LaboratoryCertificate of Accreditation, Hospital14D0436600
- Herrin Hospital Logan Primary Care - Herrin LabCertificate of Waiver, Physician office14D2042179
- Herrin Medical Arts - S I HCertificate of Waiver, Physician office14D2174749
- Herrin Rehab & Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility14D0894784
- Kroger Pharmacy L-746Certificate of Waiver, Industrial14D1097217
- Logan Primary CareCertificate of Waiver, Rural health clinic14D0436594
- Marion Eye Center - HerrinCertificate of Waiver, Physician office14D2180708
- Orthopaedic Institute of Southern IllinoisCertificate of Waiver, Physician office14D2123496
Related
Questions
What is the CLIA number for Southern Illinois Dermatology in Herrin?
14D0917950, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Illinois Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 14D0917950 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect August 2, 2024.