CLIA lab
CLIA 14D2090636: ST Mary's Convenient Care
Centralia, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2090636 belongs to ST Mary's Convenient Care in Centralia, IL.
Certificate of Waiver, effective January 27, 2025, expires January 26, 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
- January 27, 2025
- Certificate expiration
- January 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 2015
- 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
- 14D2090636
- Lab name
- ST Mary's Convenient Care
- Address
- 1003 E Mccord St, Centralia, IL 62801
- Phone
- (618) 436-6633
- Fax
- (618) 545-0705
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 ST Mary's Convenient Care in Centralia?
14D2090636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Mary's Convenient Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2090636 expire?
The CMS file lists January 26, 2027 as the certificate expiration date; the certificate took effect January 27, 2025.