CLIA lab

CLIA 14D2235122: Princeville Pharmacy

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

CLIA number 14D2235122 belongs to Princeville Pharmacy in Princeville, IL.

Certificate of Waiver, effective September 7, 2025, expires September 6, 2027.

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 7, 2025
Certificate expiration
September 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 7, 2021
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
14D2235122
Lab name
Princeville Pharmacy
Address
206 E Main St, Princeville, IL 61559
Phone
(309) 385-4955
Fax
(309) 385-1561

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Princeville, IL

Related

Questions

What is the CLIA number for Princeville Pharmacy in Princeville?

14D2235122, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Princeville Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2235122 expire?

The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.

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