CLIA lab
CLIA 14D0940104: Edgebrook Dermatology, PC
Rockford, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0940104 belongs to Edgebrook Dermatology, PC in Rockford, IL.
Certificate for Provider-Performed Microscopy Procedures, effective February 5, 2026, expires February 4, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 5, 2026
- Certificate expiration
- February 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 1998
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 14D0940104
- Lab name
- Edgebrook Dermatology, PC
- Address
- 1639 North Alpine Road, Suite 360, Rockford, IL 61107
- Phone
- (815) 229-9333
- Fax
- (815) 229-7288
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- AccurideCertificate of Waiver, Independent14D2251788
- Activate Healthcare - Local 23Certificate of Waiver, Physician office14D2132581
- Advent - RockfordCertificate of Waiver, Physician office14D2311301
- Alden Park Strathmoor IncCertificate of Waiver, Skilled nursing or nursing facility14D0430227
- Alden-Alma Nelson Manor IncCertificate of Waiver, Skilled nursing or nursing facility14D1089524
- Alpine Fireside Health CenterCertificate of Waiver, Skilled nursing or nursing facility14D0877631
- Amberwood Care Center L L CCertificate of Waiver, Skilled nursing or nursing facility14D0646747
- Aunt Martha's RockfordCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center14D2134322
- Bickford Senior LivingCertificate of Waiver, Assisted living facility14D2038436
Related
Questions
What is the CLIA number for Edgebrook Dermatology, PC in Rockford?
14D0940104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgebrook Dermatology, PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0940104 expire?
The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.