CLIA lab
CLIA 14D2054565: Walgreens #11828
Bloomington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2054565 belongs to Walgreens #11828 in Bloomington, IL.
Certificate of Waiver, effective March 24, 2025, expires March 23, 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 24, 2025
- Certificate expiration
- March 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2013
- Facility type
- Pharmacy
- 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
- 14D2054565
- Lab name
- Walgreens #11828
- Address
- 909 S Main St, Bloomington, IL 61701
- Phone
- (309) 829-1540
- Fax
- (309) 829-2076
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Associates in Dermatology, SCCertificate of Compliance, Physician office14D0432268
- Axline Pharmacy (05)Certificate of Waiver, Pharmacy14D2181635
- Bickford House of BloomingtonCertificate of Waiver, Other14D1058079
- Bloomington Eye InstituteCertificate of Waiver, Ambulatory surgery center14D0939310
- Bloomington Eye ProfessionalsCertificate of Waiver, Other practitioner14D1088681
- Bloomington Normal Birthing CenterCertificate for Provider-Performed Microscopy Procedures, Other14D2117837
- Bloomington Pediatrics, LTDCertificate of Waiver, Physician office14D0432359
Related
Questions
What is the CLIA number for Walgreens #11828 in Bloomington?
14D2054565, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #11828 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2054565 expire?
The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.