CLIA lab
CLIA 14D2074347: Smgs Good Samaritan Convenient Care
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2074347 belongs to Smgs Good Samaritan Convenient Care in Mount Vernon, IL.
Certificate of Waiver, effective March 6, 2026, expires March 5, 2028.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 6, 2026
- Certificate expiration
- March 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2014
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- 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
- 14D2074347
- Lab name
- Smgs Good Samaritan Convenient Care
- Address
- 602 South 42nd St - Laboratory, Mount Vernon, IL 62864
- Phone
- (618) 899-3278
- Fax
- (618) 242-1853
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Vernon, IL
- Advanced Surgical Technology LLCCertificate of Compliance, Physician office14D2292466
- Advanced Surgical Technology, L L CCertificate of Waiver, Physician office14D2172502
- Advanced Urologic SurgeonsCertificate of Waiver, Physician office14D1048280
- Air Evac 011Certificate of Waiver, Mobile lab14D1088064
- Air Evac Lifeteam Ael 172Certificate of Waiver, Mobile lab14D2250791
- 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 Smgs Good Samaritan Convenient Care in Mount Vernon?
14D2074347, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smgs Good Samaritan Convenient Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2074347 expire?
The CMS file lists March 5, 2028 as the certificate expiration date; the certificate took effect March 6, 2026.