CLIA lab
CLIA 14D0940457: Mount Olive Family Practice Center
Mount Olive, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0940457 belongs to Mount Olive Family Practice Center in Mount Olive, IL.
Certificate for Provider-Performed Microscopy Procedures, effective January 1, 2025, expires December 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 1, 2025
- Certificate expiration
- December 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 1998
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0940457
- Lab name
- Mount Olive Family Practice Center
- Additional name
- Macoupin Family Practice Centers LLP
- Address
- 115 North Poplar, Mount Olive, IL 62069
- Phone
- (217) 999-4751
- Fax
- (217) 999-2317
Annual test volume the lab reported
- Waived tests
- 960
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Mount Olive Family Practice Center in Mount Olive?
14D0940457, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mount Olive Family Practice Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0940457 expire?
The CMS file lists December 31, 2026 as the certificate expiration date; the certificate took effect January 1, 2025.