CLIA lab
CLIA 14D1052641: Southern Illinois Dermatology
Harrisburg, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1052641 belongs to Southern Illinois Dermatology in Harrisburg, IL.
Certificate for Provider-Performed Microscopy Procedures, effective March 30, 2026, expires March 29, 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
- March 30, 2026
- Certificate expiration
- March 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2006
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1052641
- Lab name
- Southern Illinois Dermatology
- Address
- 300 Small Street, Suite 1, Harrisburg, IL 62946
- Phone
- (618) 942-3344
- Fax
- (618) 942-5045
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Harrisburg, IL
- Air Evac Lifeteam Ael 138 (DBA)Certificate of Waiver, Mobile lab14D2117584
- Axiom Healthcare of HarrisburgCertificate of Waiver, Skilled nursing or nursing facility14D2321667
- Brookstone Estates of HarrisburgCertificate of Waiver, Assisted living facility14D2194019
- Deaconess Il ClinicCertificate of Waiver, Physician office14D2277265
- Ferrell Hospital Harrisburg Small Street ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office14D2328882
- Fresenius Medical Care Saline CoCertificate of Waiver, End stage renal disease dialysis facility14D0899004
- Harrisburg CbocCertificate of Accreditation, Community clinic14D2032441
- Harrisburg Community Health CenterCertificate of Waiver, Community clinic14D1046429
- Harrisburg Cusd #3Certificate of Waiver, School or student health service14D2234945
- Harrisburg Family MedicineCertificate of Waiver, Rural health clinic14D2227857
Related
Questions
What is the CLIA number for Southern Illinois Dermatology in Harrisburg?
14D1052641, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Illinois Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D1052641 expire?
The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.