CLIA lab
CLIA 14D2147730: Southern Il Medical Group - Ear, Nose & Throat
Herrin, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2147730 belongs to Southern Il Medical Group - Ear, Nose & Throat in Herrin, IL.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2018
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 14D2147730
- Lab name
- Southern Il Medical Group - Ear, Nose & Throat
- Address
- 3316 Patriot Court, Herrin, IL 62948
- Phone
- (618) 997-0307
- Fax
- (618) 993-0807
Annual test volume the lab reported
- Waived tests
- 35
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Herrin Hospital LaboratoryCertificate of Accreditation, Hospital14D0436600
- Herrin Hospital Logan Primary Care - Herrin LabCertificate of Waiver, Physician office14D2042179
- Herrin Medical Arts - S I HCertificate of Waiver, Physician office14D2174749
- Herrin Rehab & Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility14D0894784
- Kroger Pharmacy L-746Certificate of Waiver, Industrial14D1097217
- Logan Primary CareCertificate of Waiver, Rural health clinic14D0436594
- Marion Eye Center - HerrinCertificate of Waiver, Physician office14D2180708
- Orthopaedic Institute of Southern IllinoisCertificate of Waiver, Physician office14D2123496
Related
Questions
What is the CLIA number for Southern Il Medical Group - Ear, Nose & Throat in Herrin?
14D2147730, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Il Medical Group - Ear, Nose & Throat hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2147730 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.