CLIA lab
CLIA 14D1052642: Southern Illinois Dermatology
Du Quoin, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1052642 belongs to Southern Illinois Dermatology in Du Quoin, 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
- 14D1052642
- Lab name
- Southern Illinois Dermatology
- Address
- 111 W Main, Du Quoin, IL 62832
- 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 Du Quoin, IL
- Crhpc Comprehensive Behavioral Health CenterCertificate of Waiver, Federally qualified health center14D2256850
- Du Quoin Nursing & Rehabilitation Center LLCCertificate of Waiver, Skilled nursing or nursing facility14D0436098
- Fairview Rehabilitation & HealthcareCertificate of Waiver, Skilled nursing or nursing facility14D2170709
- Fresenius Medical Care Du QuoinCertificate of Waiver, End stage renal disease dialysis facility14D0972274
- MBH East Medical ClinicCertificate of Waiver, Physician office14D2286294
- Marion Eye Center - Du QuoinCertificate of Waiver, Physician office14D2180689
- Marshall Browning HospitalCertificate of Accreditation, Hospital14D0436101
- Marshall Browning Rural Hlth ClinicCertificate of Waiver, Rural health clinic14D1105692
- Rea Clinic / Du QuoinCertificate for Provider-Performed Microscopy Procedures, Other14D0945574
- Walmart Pharmacy 10-0252Certificate of Waiver, Pharmacy14D2140320
Related
Questions
What is the CLIA number for Southern Illinois Dermatology in Du Quoin?
14D1052642, 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 14D1052642 expire?
The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.