CLIA lab
CLIA 14D1094029: Walgreens #09176
Jacksonville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1094029 belongs to Walgreens #09176 in Jacksonville, IL.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 2009
- Facility type
- Pharmacy
- 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
- 14D1094029
- Lab name
- Walgreens #09176
- Address
- 1802 W Morton Ave, Jacksonville, IL 62650
- Phone
- (217) 479-0693
- Fax
- (217) 479-0895
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jacksonville, IL
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- Arcadia Care JacksonvilleCertificate of Waiver, Skilled nursing or nursing facility14D2040264
- Cedarhurst of JacksonvilleCertificate of Waiver, Assisted living facility14D2162069
- Cvs/Pharmacy #02692Certificate of Waiver, Pharmacy14D2285887
- Emerge Medispa & Wellness Center, PLLCCertificate of Waiver, Other practitioner14D2312981
- 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 Walgreens #09176 in Jacksonville?
14D1094029, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #09176 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1094029 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.