CLIA lab
CLIA 14D1028502: Southern Illinois Dermatology
Salem, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1028502 belongs to Southern Illinois Dermatology in Salem, IL.
Certificate of Compliance, effective July 25, 2024, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- July 25, 2024
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 26, 2004
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1028502
- Lab name
- Southern Illinois Dermatology
- Address
- 100 West Main Street, Salem, IL 62881
- Phone
- (618) 548-3473
- Fax
- (618) 548-4614
Annual test volume the lab reported
- Provider-performed microscopy tests
- 10
- Other nonwaived tests
- 1,657
- Total
- 1,667
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Salem, IL
- Amky Mso-1 PLLCCertificate of Compliance, Physician office14D2236474
- Bandy's Pharmacy IncCertificate of Waiver, Pharmacy14D0894753
- Community Resource CenterCertificate of Waiver, Other14D2090498
- High Point Residence Salem NorthCertificate of Waiver, Assisted living facility14D2213840
- Lynwood EstatesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D1032094
- Manor at Salem Woods, theCertificate of Waiver, Other14D2213855
- Marion County Health DepartmentCertificate of Waiver, Community clinic14D0931263
- Marion County Sheriffs OfficeCertificate of Waiver, Prison14D2236241
- Marion Eye Center - SalemCertificate of Waiver, Physician office14D2180690
- Medicine Shoppe of SalemCertificate of Waiver, Pharmacy14D0696803
Related
Questions
What is the CLIA number for Southern Illinois Dermatology in Salem?
14D1028502, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Illinois Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 14D1028502 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect July 25, 2024.