CLIA lab
CLIA 14D2189634: SSM Hlth Cardinal Glennon Ped Spec Clinic Anderson
Edwardsville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2189634 belongs to SSM Hlth Cardinal Glennon Ped Spec Clinic Anderson in Edwardsville, IL.
Certificate of Waiver, effective August 4, 2026, expires August 3, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 4, 2026
- Certificate expiration
- August 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 2020
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 14D2189634
- Lab name
- SSM Hlth Cardinal Glennon Ped Spec Clinic Anderson
- Address
- 3403 Anderson Healthcare Dr, Edwardsville, IL 62025
- Phone
- (618) 288-5606
- Fax
- (618) 288-5732
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.
Other labs in Edwardsville, IL
- Addington Place of EdwardsvilleCertificate of Waiver, Assisted living facility14D2158149
- Anderson Rehab InstituteCertificate of Waiver, Other14D2226267
- Anderson Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center14D2181440
- Apg Network LLCCertificate of Waiver, Physician office14D2348477
- BJC Medical Group Outpatient CTR at EdwardsvilleCertificate of Waiver, Physician office14D2236238
- Cvs/Pharmacy #03259Certificate of Waiver, Pharmacy14D2257620
- Evercare at EdwardsvilleCertificate of Waiver, Skilled nursing or nursing facility14D0670457
- Evercare at UniversityCertificate of Waiver, Skilled nursing or nursing facility14D0670051
- Goshen Express CareCertificate of Waiver, Ancillary test site14D2256404
- Goshen ImagingCertificate of Waiver, Other14D2348486
Related
Questions
What is the CLIA number for SSM Hlth Cardinal Glennon Ped Spec Clinic Anderson in Edwardsville?
14D2189634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SSM Hlth Cardinal Glennon Ped Spec Clinic Anderson hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2189634 expire?
The CMS file lists August 3, 2028 as the certificate expiration date; the certificate took effect August 4, 2026.