CLIA lab
CLIA 14D2021862: MDH Pediatric Clinic
Macomb, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2021862 belongs to MDH Pediatric Clinic in Macomb, IL.
Certificate of Waiver, effective March 23, 2025, expires March 22, 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 23, 2025
- Certificate expiration
- March 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 2011
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 14D2021862
- Lab name
- MDH Pediatric Clinic
- Address
- 515 E Grant St, Ste 111, Macomb, IL 61455
- Phone
- (309) 833-1729
- Fax
- (309) 836-1779
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 Macomb, IL
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- Beu Health Center- Western Illinois UniversityCertificate of Waiver, School or student health service14D0716919
- Birthright of Macomb IncCertificate of Waiver, Other14D0667491
- Countryside Care Center LLCCertificate of Waiver, Skilled nursing or nursing facility14D0646794
- DR Eric Botts & AssociatesCertificate of Waiver, Physician office14D2014276
- Fresenius Medical Care MacombCertificate of Waiver, End stage renal disease dialysis facility14D1097214
- Gary L Sash DCCertificate of Waiver, Physician office14D0719114
- Graham Medical Group - MacombCertificate of Waiver, Community clinic14D2281376
- Graham Medical Group MacombCertificate of Waiver, Community clinic14D2347857
- Grand Prairie Suportive LivingCertificate of Waiver, Assisted living facility14D2198208
Related
Questions
What is the CLIA number for MDH Pediatric Clinic in Macomb?
14D2021862, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MDH Pediatric Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2021862 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.