CLIA lab
CLIA 14D1073602: Clinical Research Center of Southern Il, LLC
Maryville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1073602 belongs to Clinical Research Center of Southern Il, LLC in Maryville, IL.
Certificate for Provider-Performed Microscopy Procedures, effective September 12, 2025, expires September 11, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 12, 2025
- Certificate expiration
- September 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 14D1073602
- Lab name
- Clinical Research Center of Southern Il, LLC
- Address
- 2023 Vadalabene Dr - Ste 352, Maryville, IL 62062
- Phone
- (618) 624-2060
- Fax
- (201) 603-5592
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Clinical Research Center of Southern Il, LLC in Maryville?
14D1073602, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinical Research Center of Southern Il, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D1073602 expire?
The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.