CLIA lab
CLIA 14D1055340: Cissna Park Medical Clinic
Cissna Park, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1055340 belongs to Cissna Park Medical Clinic in Cissna Park, IL.
Certificate of Waiver, effective June 15, 2026, expires June 14, 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 of Waiver
- Certificate effective
- June 15, 2026
- Certificate expiration
- June 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 15, 2006
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1055340
- Lab name
- Cissna Park Medical Clinic
- Address
- 141 W Garfield Ave, Cissna Park, IL 60924
- Phone
- (217) 283-8433
- Fax
- (217) 283-7618
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cissna Park, IL
Related
Questions
What is the CLIA number for Cissna Park Medical Clinic in Cissna Park?
14D1055340, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cissna Park Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1055340 expire?
The CMS file lists June 14, 2028 as the certificate expiration date; the certificate took effect June 15, 2026.