CLIA lab

CLIA 14D1078896: Ireland Grove Center for Surgery

Bloomington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D1078896 belongs to Ireland Grove Center for Surgery in Bloomington, IL.

Certificate of Waiver, effective January 17, 2026, expires January 16, 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
January 17, 2026
Certificate expiration
January 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 17, 2008
Facility type
Ambulatory surgery center
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
14D1078896
Lab name
Ireland Grove Center for Surgery
Address
3801 Ireland Grove Rd, Bloomington, IL 61704
Phone
(309) 664-0101
Fax
(309) 664-1010

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Bloomington, IL

Related

Questions

What is the CLIA number for Ireland Grove Center for Surgery in Bloomington?

14D1078896, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ireland Grove Center for Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D1078896 expire?

The CMS file lists January 16, 2028 as the certificate expiration date; the certificate took effect January 17, 2026.

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