CLIA lab
CLIA 14D2103719: Performance Medical Clinic LLC
Edwardsville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2103719 belongs to Performance Medical Clinic LLC in Edwardsville, IL.
Certificate of Waiver, effective October 20, 2025, expires October 19, 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
- October 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2015
- Facility type
- Physician office
- 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
- 14D2103719
- Lab name
- Performance Medical Clinic LLC
- Additional name
- Ambrose Medical LLC
- Address
- 1181 State Route 157 - Ste 100B, Edwardsville, IL 62025
- Phone
- (618) 671-6800
- Fax
- (618) 671-6604
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 Edwardsville, IL
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- Anderson Rehab InstituteCertificate of Waiver, Other14D2226267
- Anderson Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center14D2181440
- Apg Network LLCCertificate of Waiver, Physician office14D2348477
- BJC Medical Group Outpatient CTR at EdwardsvilleCertificate of Waiver, Physician office14D2236238
- Cvs/Pharmacy #03259Certificate of Waiver, Pharmacy14D2257620
- Evercare at EdwardsvilleCertificate of Waiver, Skilled nursing or nursing facility14D0670457
- Evercare at UniversityCertificate of Waiver, Skilled nursing or nursing facility14D0670051
- Goshen Express CareCertificate of Waiver, Ancillary test site14D2256404
- Goshen ImagingCertificate of Waiver, Other14D2348486
Related
Questions
What is the CLIA number for Performance Medical Clinic LLC in Edwardsville?
14D2103719, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Performance Medical Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2103719 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.