CLIA lab
CLIA 14D2067838: Southern Illinois Dermatology
Centralia, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2067838 belongs to Southern Illinois Dermatology in Centralia, IL.
Certificate for Provider-Performed Microscopy Procedures, effective October 23, 2025, expires October 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2067838
- Lab name
- Southern Illinois Dermatology
- Address
- 202 East 3rd, Centralia, IL 62801
- Phone
- (618) 532-6311
Annual test volume the lab reported
- Provider-performed microscopy tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Centralia, IL
- Advanced Surgical Technology, LLCCertificate of Waiver, Physician office14D2231713
- Bandy's Pharmacy IICertificate of Waiver, Pharmacy14D2235734
- Bryan ManorCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D1032087
- Bryd-Watson DrugCertificate of Waiver, Pharmacy14D2285424
- Cedarhurst of CentraliaCertificate of Waiver, Assisted living facility14D2158067
- Centralia DialysisCertificate of Waiver, Physician office14D0980206
- Centralia Fireside House IncCertificate of Waiver, Skilled nursing or nursing facility14D0647005
- Centralia ManorCertificate of Waiver, Skilled nursing or nursing facility14D0436001
- Community Resource CenterCertificate of Waiver, Other14D2090504
- DR Franczyk MDCertificate of Waiver, Physician office14D0953274
Related
Questions
What is the CLIA number for Southern Illinois Dermatology in Centralia?
14D2067838, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Illinois Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D2067838 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.