CLIA lab
CLIA 14D0973071: Moultrie County Health Department
Sullivan, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0973071 belongs to Moultrie County Health Department in Sullivan, IL.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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 of Waiver
- Certificate effective
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2000
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 14D0973071
- Lab name
- Moultrie County Health Department
- Address
- 202 S Main St, Sullivan, IL 61951
- Phone
- (217) 728-4114
- Fax
- (217) 728-2650
Annual test volume the lab reported
- Waived tests
- 393
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sullivan, IL
- C V S / Pharmacy #6923Certificate of Waiver, Pharmacy14D2283719
- Community Homecare IncCertificate of Waiver, Home health agency14D1023194
- Memorial Care in SullivanCertificate of Waiver, Physician office14D1045949
- Moultrie Co Detention CenterCertificate of Waiver, Other14D2164020
- Oakwood ApothecaryCertificate of Waiver, Pharmacy14D2260915
- Sullivan Family Care CenterCertificate for Provider-Performed Microscopy Procedures, Physician office14D0872015
Related
Questions
What is the CLIA number for Moultrie County Health Department in Sullivan?
14D0973071, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moultrie County Health Department hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0973071 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.