CLIA lab
CLIA 14D1090197: Fort Jesse Imaging Center
Normal, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1090197 belongs to Fort Jesse Imaging Center in Normal, IL.
Certificate of Waiver, effective February 19, 2025, expires February 18, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2008
- Facility type
- Other
- 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
- 14D1090197
- Lab name
- Fort Jesse Imaging Center
- Address
- 2200 Fort Jesse Rd, Suite 120, Normal, IL 61761
- Phone
- (309) 454-5552
- Fax
- (309) 454-5452
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Normal, IL
- Arc at NormalCertificate of Waiver, Skilled nursing or nursing facility14D2287073
- Bloomington Normal Healthcare Surgery CenterCertificate of Waiver, Ambulatory surgery center14D0991589
- Bridgestone Bloomington OnsiteCertificate of Waiver, Physician office14D2212742
- C V S / Pharmacy #7020Certificate of Waiver, Pharmacy14D2187370
- CSL Plasma, IncCertificate of Compliance, Other14D2179781
- Carle Bromenn CardiologyCertificate of Waiver, Physician office14D0940461
- Carle Bromenn Family MedicineCertificate of Waiver, Physician office14D0906789
- Carle Bromenn Medical CenterCertificate of Accreditation, Hospital14D0432295
- Carle Bromenn Medical CenterCertificate of Accreditation, Hospital14D0703963
- Carle Bromenn Specialities ClinicCertificate of Waiver, Physician office14D1087642
Related
Questions
What is the CLIA number for Fort Jesse Imaging Center in Normal?
14D1090197, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Jesse Imaging Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1090197 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.