CLIA lab
CLIA 14D1005513: Marissa Medical Clinic
Marissa, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1005513 belongs to Marissa Medical Clinic in Marissa, IL.
Certificate for Provider-Performed Microscopy Procedures, effective April 24, 2026, expires April 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 24, 2026
- Certificate expiration
- April 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2002
- Facility type
- Physician office
- 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
- 14D1005513
- Lab name
- Marissa Medical Clinic
- Address
- 521 C North Borders, Marissa, IL 62257
- Phone
- (618) 295-1591
- Fax
- (618) 295-1473
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 200
- Total
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Marissa Medical Clinic in Marissa?
14D1005513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Marissa Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D1005513 expire?
The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.