CLIA lab
CLIA 14D2021904: Schaberg Dermatology
Glen Carbon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2021904 belongs to Schaberg Dermatology in Glen Carbon, 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)
- 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
- 14D2021904
- Lab name
- Schaberg Dermatology
- Address
- 4804 S State Rt 159, Ste 10, Glen Carbon, IL 62034
- Phone
- (618) 288-9450
- Fax
- (618) 288-9562
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Eden Retirement Center IncCertificate of Waiver, Skilled nursing or nursing facility14D0433458
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- Gameday Men's Health Glen CarbonCertificate of Accreditation, Physician office14D2308377
- Keystone Place at Magnolia Commons, LLCCertificate of Waiver, Assisted living facility14D2289109
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- Mclane Brian, LLCCertificate of Waiver, Home health agency14D2289910
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Related
Questions
What is the CLIA number for Schaberg Dermatology in Glen Carbon?
14D2021904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Schaberg Dermatology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2021904 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.