CLIA lab
CLIA 14D2184995: Premise Health of Illinois Medical, SC
Belleville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2184995 belongs to Premise Health of Illinois Medical, SC in Belleville, IL.
Certificate of Waiver, effective May 28, 2026, expires May 27, 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
- May 28, 2026
- Certificate expiration
- May 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 2020
- 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
- 14D2184995
- Lab name
- Premise Health of Illinois Medical, SC
- Address
- 19 Public Square, Belleville, IL 62220
- Phone
- (618) 825-3010
- Fax
- (618) 825-3011
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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- Assure Screen LaboratoriesCertificate of Waiver, Other14D2322058
- B J C M G Primary CareCertificate of Waiver, Physician office14D0964881
- B J C Medical Group Family Medicine at BellevilleCertificate of Waiver, Physician office14D0961622
- BJC Medical Group Cardiology BellevilleCertificate of Waiver, Physician office14D2280223
- BJC Medical Group Family Medicine at BellevilleCertificate of Waiver, Physician office14D0942504
- BJC Medical Group Family Medicine at BellevilleCertificate of Waiver, Physician office14D2309466
- BJC Medical Group Internal Medicine at BellevilleCertificate of Waiver, Physician office14D0936535
- Bel-Clair Ambulatory Surgical CenterCertificate of Waiver, Ambulatory surgery center14D0886922
- Belleville Area Special Services Coop (Bassc)Certificate of Waiver, School or student health service14D2237127
Related
Questions
What is the CLIA number for Premise Health of Illinois Medical, SC in Belleville?
14D2184995, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Illinois Medical, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2184995 expire?
The CMS file lists May 27, 2028 as the certificate expiration date; the certificate took effect May 28, 2026.