CLIA lab

CLIA 14D2158129: S I U Dept of Ob/Gyn Lab - M O B 400 N 9th

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

CLIA number 14D2158129 belongs to S I U Dept of Ob/Gyn Lab - M O B 400 N 9th in Springfield, IL.

Certificate of Waiver, effective November 20, 2024, expires November 19, 2026.

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
November 20, 2024
Certificate expiration
November 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 20, 2018
Facility type
Physician office
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
14D2158129
Lab name
S I U Dept of Ob/Gyn Lab - M O B 400 N 9th
Address
400 N 9th St - M O B, Springfield, IL 62702
Phone
(217) 545-1523
Fax
(217) 545-7959

Annual test volume the lab reported

Waived tests
1,200

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

Affiliated CLIA numbers

Other labs in Springfield, IL

Related

Questions

What is the CLIA number for S I U Dept of Ob/Gyn Lab - M O B 400 N 9th in Springfield?

14D2158129, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does S I U Dept of Ob/Gyn Lab - M O B 400 N 9th hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2158129 expire?

The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.

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