CLIA lab
CLIA 14D2147887: Greentree at MT Vernon
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2147887 belongs to Greentree at MT Vernon in Mount Vernon, IL.
Certificate of Waiver, effective January 26, 2025, expires January 25, 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 26, 2025
- Certificate expiration
- January 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2018
- Facility type
- Assisted living facility
- 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
- 14D2147887
- Lab name
- Greentree at MT Vernon
- Address
- 208 Zachery St, Mount Vernon, IL 62864
- Phone
- (618) 244-5580
- Fax
- (618) 244-5699
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Greentree at MT Vernon in Mount Vernon?
14D2147887, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Greentree at MT Vernon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2147887 expire?
The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.