CLIA lab
CLIA 14D1088575: Memorial Physician Services - Jacksonville
Jacksonville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1088575 belongs to Memorial Physician Services - Jacksonville in Jacksonville, IL.
Certificate of Waiver, effective August 28, 2026, expires August 27, 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
- August 28, 2026
- Certificate expiration
- August 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 2008
- 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
- 14D1088575
- Lab name
- Memorial Physician Services - Jacksonville
- Address
- 15 Founders Lane, Ste 100, Jacksonville, IL 62650
- Phone
- (217) 243-0300
- Fax
- (217) 245-6775
Annual test volume the lab reported
- Waived tests
- 225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cvs/Pharmacy #02692Certificate of Waiver, Pharmacy14D2285887
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- Heritage Health (D/B/A)Certificate of Waiver, Skilled nursing or nursing facility14D0886490
- Illinois College Chesley Health & Wellness CenterCertificate of Waiver, School or student health service14D2199111
- Illinois School for the DeafCertificate of Waiver, School or student health service14D2216261
- Illinois School for the Visually ImpairedCertificate of Waiver, School or student health service14D2216262
- JMH Wound Clinic & HbotCertificate of Waiver, Ancillary test site14D1105140
Related
Questions
What is the CLIA number for Memorial Physician Services - Jacksonville in Jacksonville?
14D1088575, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Physician Services - Jacksonville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1088575 expire?
The CMS file lists August 27, 2028 as the certificate expiration date; the certificate took effect August 28, 2026.