CLIA lab
CLIA 14D2202682: Petersburg Pharmacy
Petersburg, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2202682 belongs to Petersburg Pharmacy in Petersburg, IL.
Certificate of Waiver, effective November 30, 2024, expires November 29, 2026.
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 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 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
- 14D2202682
- Lab name
- Petersburg Pharmacy
- Address
- 1 Centre Drive Ste 100, Petersburg, IL 62675
- Phone
- (217) 632-7777
- Fax
- (217) 632-7618
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.
Other labs in Petersburg, IL
- Curry ChiropracticCertificate of Waiver, Other practitioner14D2094927
- M P S - PetersburgCertificate of Waiver, Physician office14D0878837
- Menard County JailCertificate of Waiver, Other14D2143967
- Porta C U S D 202Certificate of Waiver, School or student health service14D2212272
- Salt and Light DPCCertificate of Waiver, Physician office14D2286724
- Sunny Acres HomeCertificate of Waiver, Skilled nursing or nursing facility14D0897015
Related
Questions
What is the CLIA number for Petersburg Pharmacy in Petersburg?
14D2202682, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Petersburg Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2202682 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.