CLIA lab

CLIA 14D2168540: Good Samaritan Hospital - T B I L

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

CLIA number 14D2168540 belongs to Good Samaritan Hospital - T B I L in Lawrenceville, IL.

Certificate of Waiver, effective July 2, 2025, expires July 1, 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
July 2, 2025
Certificate expiration
July 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 2, 2019
Facility type
Physician office
Ownership (control type)
Government, county
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
14D2168540
Lab name
Good Samaritan Hospital - T B I L
Address
100 Trim Masters Dr, Lawrenceville, IL 62439
Phone
(618) 943-7900
Fax
(812) 885-3737

Annual test volume the lab reported

Waived tests
200

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

Other labs in Lawrenceville, IL

Related

Questions

What is the CLIA number for Good Samaritan Hospital - T B I L in Lawrenceville?

14D2168540, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Hospital - T B I L hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2168540 expire?

The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.

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