CLIA lab

CLIA 14D0955316: SMH Lab - Koke Mill Urgent Care

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

CLIA number 14D0955316 belongs to SMH Lab - Koke Mill Urgent Care in Springfield, IL.

Certificate of Waiver, effective December 1, 2024, expires November 30, 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 Waiver
Certificate effective
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 23, 1998
Facility type
Ancillary test site
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
14D0955316
Lab name
SMH Lab - Koke Mill Urgent Care
Address
3132 Old Jacksonville Rd, Springfield, IL 62704
Phone
(217) 788-3079
Fax
(217) 788-3601

Annual test volume the lab reported

Waived tests
8,747

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

Affiliated CLIA numbers

Other labs in Springfield, IL

Related

Questions

What is the CLIA number for SMH Lab - Koke Mill Urgent Care in Springfield?

14D0955316, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does SMH Lab - Koke Mill Urgent Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0955316 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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