CLIA lab
CLIA 14D2171607: Oral & Maxillofacial Surgery of Carbondale
Carbondale, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2171607 belongs to Oral & Maxillofacial Surgery of Carbondale in Carbondale, IL.
Certificate of Waiver, effective September 5, 2025, expires September 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
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2019
- Facility type
- Other practitioner
- 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
- 14D2171607
- Lab name
- Oral & Maxillofacial Surgery of Carbondale
- Address
- 1111 E Walnut St - Ste B, Carbondale, IL 62901
- Phone
- (618) 529-2572
- Fax
- (618) 529-2572
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anad Salem MDCertificate for Provider-Performed Microscopy Procedures, Physician office14D0938839
- Biomat USA, IncCertificate of Accreditation, Other14D0934773
- Carbondale CbocCertificate of Accreditation, Community clinic14D2043807
- Cedar Court ClinicCertificate of Waiver, Physician office14D0912873
- Center for Medical ArtsCertificate of Waiver, Rural health clinic14D0436404
- Center for Medical Arts - LaboratoryCertificate of Waiver, Rural health clinic14D2068813
- Choices Medical Services, P CCertificate of Waiver, Other14D2269784
- Clarity Women's CareCertificate of Waiver, Other14D1086462
- Family Medicine Carbondale - Oldenhage Hughes BldgCertificate of Waiver, Physician office14D2136041
Related
Questions
What is the CLIA number for Oral & Maxillofacial Surgery of Carbondale in Carbondale?
14D2171607, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Oral & Maxillofacial Surgery of Carbondale hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2171607 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.