CLIA lab

CLIA 14D2126247: Southern Illinois Dermatology

Vandalia, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2126247 belongs to Southern Illinois Dermatology in Vandalia, IL.

Certificate for Provider-Performed Microscopy Procedures, effective February 22, 2025, expires February 21, 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
February 22, 2025
Certificate expiration
February 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 22, 2017
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
14D2126247
Lab name
Southern Illinois Dermatology
Address
110 South 6th St, Vandalia, IL 62471
Phone
(618) 942-3344
Fax
(618) 942-5045

Annual test volume the lab reported

Provider-performed microscopy tests
20

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Vandalia, IL

Related

Questions

What is the CLIA number for Southern Illinois Dermatology in Vandalia?

14D2126247, 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 14D2126247 expire?

The CMS file lists February 21, 2027 as the certificate expiration date; the certificate took effect February 22, 2025.

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