CLIA lab
CLIA 14D2023951: Ulti-Med Plus
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2023951 belongs to Ulti-Med Plus in Mount Vernon, IL.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 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
- 14D2023951
- Lab name
- Ulti-Med Plus
- Additional name
- Heartland Occupational Med Physicians of Il SC
- Address
- 4117 S Water Tower Place, Ste D, Mount Vernon, IL 62864
- Phone
- (618) 242-4848
- Fax
- (618) 242-4198
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Axiom Gardens of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321261
- Axiom Healthcare of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321257
- Cheryl Emmons MD SCCertificate of Waiver, Physician office14D0979884
Related
Questions
What is the CLIA number for Ulti-Med Plus in Mount Vernon?
14D2023951, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ulti-Med Plus hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2023951 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.