CLIA lab
CLIA 14D2174619: Memorial Pain Clinic
Decatur, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2174619 belongs to Memorial Pain Clinic in Decatur, 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
- Physician office
- Ownership (control type)
- Private
- 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
- 14D2174619
- Lab name
- Memorial Pain Clinic
- Address
- 304 W Hay St - Ste 213, Decatur, IL 62526
- Phone
- (217) 876-6640
- Fax
- (217) 876-6645
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cancer Care Specialists of Central IllCertificate of Accreditation, Physician office14D0858585
- Carriage Crossing Senior Living, DecaturCertificate of Waiver, Assisted living facility14D2343236
- Crossing HealthcareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center14D0434999
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- DMH Family MedicineCertificate of Waiver, Physician office14D2035101
- Decatur CbocCertificate of Accreditation, Community clinic14D0988267
Related
Questions
What is the CLIA number for Memorial Pain Clinic in Decatur?
14D2174619, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Pain Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2174619 expire?
The CMS file lists November 4, 2027 as the certificate expiration date; the certificate took effect November 5, 2025.