CLIA lab
CLIA 14D1004088: Maryville Dialysis
Maryville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1004088 belongs to Maryville Dialysis in Maryville, IL.
Certificate of Waiver, effective September 18, 2026, expires September 17, 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
- September 18, 2026
- Certificate expiration
- September 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 2002
- Facility type
- End stage renal disease dialysis facility
- 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
- 14D1004088
- Lab name
- Maryville Dialysis
- Address
- 2102 Vadalabene Dr, Ste 1, Maryville, IL 62062
- Phone
- (618) 288-0703
- Fax
- (618) 288-4013
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ahmad & Rana Pediatrics, LTDCertificate of Waiver, Physician office14D2300564
- Air Evac Lifeteam - A E L 156Certificate of Waiver, Mobile lab14D2168380
- Allergy, Asthma & Immunology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office14D2330086
- Amg Internal Medicine of MaryvilleCertificate of Waiver, Physician office14D2142110
- Anderson Hosp Resp Care-Blood Gas LabCertificate of Accreditation, Other14D0860968
- Anderson HospitalCertificate of Waiver, Hospital14D0962052
- Anderson Hospital EMSCertificate of Waiver, Ambulance14D0985493
- Anderson Hospital LabCertificate of Accreditation, Hospital14D0433735
- Anderson Med Group - Family Medicine of MaryvilleCertificate of Waiver, Physician office14D0433428
Related
Questions
What is the CLIA number for Maryville Dialysis in Maryville?
14D1004088, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maryville Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1004088 expire?
The CMS file lists September 17, 2028 as the certificate expiration date; the certificate took effect September 18, 2026.