CLIA lab
CLIA 14D1045949: Memorial Care in Sullivan
Sullivan, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1045949 belongs to Memorial Care in Sullivan in Sullivan, IL.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2005
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1045949
- Lab name
- Memorial Care in Sullivan
- Additional name
- Decatur Memorial Hospital
- Address
- 1220 W Jackson, Sullivan, IL 61951
- Phone
- (217) 728-2042
- Fax
- (217) 728-2485
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sullivan, IL
- C V S / Pharmacy #6923Certificate of Waiver, Pharmacy14D2283719
- Community Homecare IncCertificate of Waiver, Home health agency14D1023194
- Moultrie Co Detention CenterCertificate of Waiver, Other14D2164020
- Moultrie County Health DepartmentCertificate of Waiver, Other14D0973071
- Oakwood ApothecaryCertificate of Waiver, Pharmacy14D2260915
- Sullivan Family Care CenterCertificate for Provider-Performed Microscopy Procedures, Physician office14D0872015
Related
Questions
What is the CLIA number for Memorial Care in Sullivan in Sullivan?
14D1045949, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Care in Sullivan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1045949 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.