CLIA lab
CLIA 14D0963522: Logan Primary Care Services
West Frankfort, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0963522 belongs to Logan Primary Care Services in West Frankfort, IL.
Certificate of Waiver, effective March 19, 2025, expires March 18, 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
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 1999
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0963522
- Lab name
- Logan Primary Care Services
- Additional name
- Southern Illinois Medical Services
- Address
- 502 W St Louis St, West Frankfort, IL 62896
- Phone
- (618) 993-3300
- Fax
- (618) 997-9324
Annual test volume the lab reported
- Waived tests
- 4,636
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in West Frankfort, IL
- Axiom Healthcare of West FrankfortCertificate of Waiver, Skilled nursing or nursing facility14D2321265
- CenterstoneCertificate of Waiver, Other14D2071387
- Deaconess Illinois Clinic ExpressCertificate of Waiver, Rural health clinic14D2283001
- Fresenius Medical Care West Frankfort HomeCertificate of Waiver, End stage renal disease dialysis facility14D2080479
- Herrin Hospital Logan Primary Care W FCertificate of Waiver, Hospital14D2042182
- Marion Eye Center - West FrankfortCertificate of Waiver, Physician office14D2180684
- Miners Memorial Health Center - LaboratoryCertificate of Waiver, Rural health clinic14D2068812
- Pediatric Group L L CCertificate of Waiver, Physician office14D2005130
- Southern Illinois DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office14D1086614
- West Frankfort Family Healthcare ClinicCertificate of Waiver, Other practitioner14D1082222
Related
Questions
What is the CLIA number for Logan Primary Care Services in West Frankfort?
14D0963522, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Logan Primary Care Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0963522 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.