CLIA lab
CLIA 14D1097569: Springfield Clinic Jacksonville Outreach Specialis
Jacksonville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1097569 belongs to Springfield Clinic Jacksonville Outreach Specialis in Jacksonville, IL.
Certificate for Provider-Performed Microscopy Procedures, effective March 30, 2025, expires March 29, 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
- March 30, 2025
- Certificate expiration
- March 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2009
- 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
- 14D1097569
- Lab name
- Springfield Clinic Jacksonville Outreach Specialis
- Address
- 15 Founders Ln, First Floor, Jacksonville, IL 62650
- Phone
- (217) 528-7541
- Fax
- (217) 606-3233
Annual test volume the lab reported
- Provider-performed microscopy tests
- 500
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 Springfield Clinic Jacksonville Outreach Specialis in Jacksonville?
14D1097569, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Springfield Clinic Jacksonville Outreach Specialis hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D1097569 expire?
The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.