CLIA lab

CLIA 14D2162955: Advanced Dermatology Clinic Inc

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

CLIA number 14D2162955 belongs to Advanced Dermatology Clinic Inc in Freeport, IL.

Certificate of Waiver, effective March 5, 2025, expires March 4, 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
March 5, 2025
Certificate expiration
March 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 5, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
14D2162955
Lab name
Advanced Dermatology Clinic Inc
Address
1036 W Stephenson St, Freeport, IL 61032
Phone
(608) 826-0285
Fax
(608) 826-0281

Annual test volume the lab reported

Waived tests
30

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

Affiliated CLIA numbers

Other labs in Freeport, IL

Related

Questions

What is the CLIA number for Advanced Dermatology Clinic Inc in Freeport?

14D2162955, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology Clinic Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2162955 expire?

The CMS file lists March 4, 2027 as the certificate expiration date; the certificate took effect March 5, 2025.

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