CLIA lab

CLIA 14D2142110: Amg Internal Medicine of Maryville

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

CLIA number 14D2142110 belongs to Amg Internal Medicine of Maryville in Maryville, IL.

Certificate of Waiver, effective January 3, 2026, expires January 2, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 3, 2026
Certificate expiration
January 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 3, 2018
Facility type
Physician office
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D2142110
Lab name
Amg Internal Medicine of Maryville
Address
2090 Vadalabene Dr, Maryville, IL 62062
Phone
(618) 288-5430
Fax
(618) 288-6857

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Maryville, IL

Related

Questions

What is the CLIA number for Amg Internal Medicine of Maryville in Maryville?

14D2142110, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Amg Internal Medicine of Maryville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2142110 expire?

The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.

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