CLIA lab
CLIA 14D2173589: S S M Health Medical Group I M / P U L M
Centralia, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2173589 belongs to S S M Health Medical Group I M / P U L M in Centralia, IL.
Certificate of Waiver, effective October 16, 2025, expires October 15, 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
- October 16, 2025
- Certificate expiration
- October 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 2019
- Facility type
- Physician office
- 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
- 14D2173589
- Lab name
- S S M Health Medical Group I M / P U L M
- Address
- 1050 Martin Luther King Dr - Ste 109, Centralia, IL 62801
- Phone
- (618) 532-0998
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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- Bandy's Pharmacy IICertificate of Waiver, Pharmacy14D2235734
- Bryan ManorCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D1032087
- Bryd-Watson DrugCertificate of Waiver, Pharmacy14D2285424
- Cedarhurst of CentraliaCertificate of Waiver, Assisted living facility14D2158067
- Centralia DialysisCertificate of Waiver, Physician office14D0980206
- Centralia Fireside House IncCertificate of Waiver, Skilled nursing or nursing facility14D0647005
- Centralia ManorCertificate of Waiver, Skilled nursing or nursing facility14D0436001
- Community Resource CenterCertificate of Waiver, Other14D2090504
- DR Franczyk MDCertificate of Waiver, Physician office14D0953274
Related
Questions
What is the CLIA number for S S M Health Medical Group I M / P U L M in Centralia?
14D2173589, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does S S M Health Medical Group I M / P U L M hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2173589 expire?
The CMS file lists October 15, 2027 as the certificate expiration date; the certificate took effect October 16, 2025.