CLIA lab

CLIA 14D1013305: MT Vernon Cboc

Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D1013305 belongs to MT Vernon Cboc in Mount Vernon, IL.

Certificate of Accreditation, effective June 6, 2003, expires May 22, 2032.

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 Accreditation
Certificate effective
June 6, 2003
Certificate expiration
May 22, 2032
Status in the CMS file
Active (termination code 00)
Original participation date
June 6, 2003
Facility type
Community clinic
Ownership (control type)
Government, federal
Lab classification
CLIA VA laboratory
Accrediting organizations
The Joint Commission
Directly affiliated labs
9

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D1013305
Lab name
MT Vernon Cboc
Address
4100 S Watertower Place, Mount Vernon, IL 62864
Phone
(618) 246-2910
Fax
(618) 246-2912

Annual test volume the lab reported

Waived tests
600
Tests under accreditation
600
Total
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Mount Vernon, IL

Related

Questions

What is the CLIA number for MT Vernon Cboc in Mount Vernon?

14D1013305, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does MT Vernon Cboc hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 14D1013305 expire?

The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect June 6, 2003.

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