CLIA lab
CLIA 14D1073254: Lawrence County Mem Hosp Primary Care Clinic
Lawrenceville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1073254 belongs to Lawrence County Mem Hosp Primary Care Clinic in Lawrenceville, IL.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2007
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, other
- 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
- 14D1073254
- Lab name
- Lawrence County Mem Hosp Primary Care Clinic
- Address
- 2111 Lexington Ave, Ste 1 & Ste 4, Lawrenceville, IL 62439
- Phone
- (618) 943-7216
- Fax
- (618) 943-7219
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lawrenceville, IL
- Good Samaritan Home Care Svcs of Vincennes,inCertificate of Waiver, Home health agency14D2170561
- Good Samaritan HospiceCertificate of Waiver, Hospice14D2341206
- Good Samaritan Hospital - T B I LCertificate of Waiver, Physician office14D2168540
- Lawrence County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Home health agency14D0646941
- Lawrence County Memorial HospitalCertificate of Accreditation, Hospital14D0044770
- Lawrence County Memorial HospitalCertificate of Waiver, Physician office14D2341821
- Walmart Pharmacy Store 550Certificate of Waiver, Pharmacy14D2127440
Related
Questions
What is the CLIA number for Lawrence County Mem Hosp Primary Care Clinic in Lawrenceville?
14D1073254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lawrence County Mem Hosp Primary Care Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1073254 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.