CLIA lab
CLIA 14D1009257: Deaconess Il Crossroads Family Clinic - MT Vernon
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1009257 belongs to Deaconess Il Crossroads Family Clinic - MT Vernon in Mount Vernon, IL.
Certificate of Waiver, effective February 11, 2025, expires February 10, 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
- February 11, 2025
- Certificate expiration
- February 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2003
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- 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
- 14D1009257
- Lab name
- Deaconess Il Crossroads Family Clinic - MT Vernon
- Address
- 4101 N Water Tower Place, Mount Vernon, IL 62864
- Phone
- (618) 244-6222
- Fax
- (618) 246-1247
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Deaconess Il Crossroads Family Clinic - MT Vernon in Mount Vernon?
14D1009257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Deaconess Il Crossroads Family Clinic - MT Vernon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1009257 expire?
The CMS file lists February 10, 2027 as the certificate expiration date; the certificate took effect February 11, 2025.