CLIA lab
CLIA 14D2174590: C G H Fulton Medical Center
Fulton, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2174590 belongs to C G H Fulton Medical Center in Fulton, IL.
Certificate of Waiver, effective November 5, 2025, expires November 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
- November 5, 2025
- Certificate expiration
- November 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 5, 2019
- Facility type
- Community clinic
- Ownership (control type)
- Government, city
- 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
- 14D2174590
- Lab name
- C G H Fulton Medical Center
- Address
- 1130 17th St - Ste B, Fulton, IL 61252
- Phone
- (815) 589-2005
- Fax
- (815) 632-5975
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.
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Related
Questions
What is the CLIA number for C G H Fulton Medical Center in Fulton?
14D2174590, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does C G H Fulton Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2174590 expire?
The CMS file lists November 4, 2027 as the certificate expiration date; the certificate took effect November 5, 2025.