CLIA lab

CLIA 14D2193067: Carle West Physician Group - Bloomington Fam Med

Bloomington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2193067 belongs to Carle West Physician Group - Bloomington Fam Med in Bloomington, IL.

Certificate of Waiver, effective September 17, 2026, expires September 16, 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
September 17, 2026
Certificate expiration
September 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2020
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
14D2193067
Lab name
Carle West Physician Group - Bloomington Fam Med
Address
3024 E Empire - Ste 3 A, Bloomington, IL 61704
Phone
(309) 556-7700
Fax
(309) 556-7551

Annual test volume the lab reported

Waived tests
1,675

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 Carle West Physician Group - Bloomington Fam Med in Bloomington?

14D2193067, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carle West Physician Group - Bloomington Fam Med hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2193067 expire?

The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.

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