CLIA lab
CLIA 14D2047582: Physicians Surgery Center at Good Samaritan L L C
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2047582 belongs to Physicians Surgery Center at Good Samaritan L L C in Mount Vernon, IL.
Certificate of Waiver, effective September 26, 2024, expiration date September 25, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- September 26, 2024
- Certificate expiration
- September 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2012
- Facility type
- Ambulatory surgery center
- 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
- 14D2047582
- Lab name
- Physicians Surgery Center at Good Samaritan L L C
- Address
- 2 Good Samaritan Way, Ste 200, Mount Vernon, IL 62864
- Phone
- (618) 899-5703
- Fax
- (618) 899-5704
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Asbery & Associates OB GYN LLCCertificate for Provider-Performed Microscopy Procedures, Physician office14D2228438
- Asbery and Associates OB / GYN LLCCertificate for Provider-Performed Microscopy Procedures, Physician office14D1070072
- 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 Physicians Surgery Center at Good Samaritan L L C in Mount Vernon?
14D2047582, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Physicians Surgery Center at Good Samaritan L L C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2047582 expire?
The CMS file lists September 25, 2026 as the certificate expiration date; the certificate took effect September 26, 2024.