CLIA lab
CLIA 14D2182519: MT Vernon Community Pharmacy
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2182519 belongs to MT Vernon Community Pharmacy in Mount Vernon, IL.
Certificate of Waiver, effective April 22, 2026, expires April 21, 2028.
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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2020
- Facility type
- Pharmacy
- 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
- 14D2182519
- Lab name
- MT Vernon Community Pharmacy
- Address
- 2339 Broadway, Mount Vernon, IL 62864
- Phone
- (618) 242-8776
- Fax
- (618) 242-0424
Annual test volume the lab reported
- Waived tests
- 1,000
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 MT Vernon Community Pharmacy in Mount Vernon?
14D2182519, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MT Vernon Community Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2182519 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.