CLIA lab
CLIA 14D2172502: Advanced Surgical Technology, L L C
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2172502 belongs to Advanced Surgical Technology, L L C in Mount Vernon, IL.
Certificate of Waiver, effective March 2, 2025, expires March 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
- March 2, 2025
- Certificate expiration
- March 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 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
- 14D2172502
- Lab name
- Advanced Surgical Technology, L L C
- Address
- 4200 Williamson Pl - Ste 1A, Mount Vernon, IL 62864
- Phone
- (618) 899-9200
- Fax
- (618) 899-9206
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mount Vernon, IL
- Advanced Surgical Technology LLCCertificate of Compliance, Physician office14D2292466
- Advanced Urologic SurgeonsCertificate of Waiver, Physician office14D1048280
- Air Evac 011Certificate of Waiver, Mobile lab14D1088064
- Air Evac Lifeteam Ael 172Certificate of Waiver, Mobile lab14D2250791
- Asbery & Associates OB GYN LLCCertificate for Provider-Performed Microscopy Procedures, Physician office14D2228438
- Asbery and Associates OB / GYN LLCCertificate for Provider-Performed Microscopy Procedures, Physician office14D1070072
- Axiom Gardens of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321261
- Axiom Healthcare of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321257
- Cheryl Emmons MD SCCertificate of Waiver, Physician office14D0979884
- Continental Tire the Americas, LLCCertificate of Waiver, Other practitioner14D2318043
Related
Questions
What is the CLIA number for Advanced Surgical Technology, L L C in Mount Vernon?
14D2172502, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Surgical Technology, L L C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2172502 expire?
The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.