CLIA lab
CLIA 14D2067839: Southern Illinois Dermatology
Anna, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2067839 belongs to Southern Illinois Dermatology in Anna, 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
- 14D2067839
- Lab name
- Southern Illinois Dermatology
- Address
- 525 N Main St, Anna, IL 62906
- Phone
- (618) 614-1307
- Fax
- (618) 614-1308
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 Anna, IL
- Anna Rehabilitation & Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility14D0892327
- Deaconess Il Union County Family ClinicCertificate of Waiver, Rural health clinic14D2074278
- Deaconess Illinois Specialty ClinicCertificate of Waiver, Physician office14D2317473
- Deaconess Illinois Untion CountyCertificate of Accreditation, Hospital14D0436483
- Illinois Veterans Home AnnaCertificate of Waiver, Physician office14D0891028
- J Michael Cerny MDCertificate of Waiver, Physician office14D0709886
- Kroger Pharmacy L-672Certificate of Waiver, Pharmacy14D2000586
- Marion Eye Center, LTDCertificate of Waiver, Physician office14D2168537
- Mulberry Manor IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D0436466
- Rural Health IncCertificate of Waiver, Federally qualified health center14D0436469
Related
Questions
What is the CLIA number for Southern Illinois Dermatology in Anna?
14D2067839, 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 14D2067839 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.