CLIA lab

CLIA 14D2264843: Main Campus West - 4th Floor Dermatology

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

CLIA number 14D2264843 belongs to Main Campus West - 4th Floor Dermatology in Springfield, IL.

Certificate for Provider-Performed Microscopy Procedures, effective July 20, 2026, expires July 19, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 20, 2026
Certificate expiration
July 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 20, 2022
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
14D2264843
Lab name
Main Campus West - 4th Floor Dermatology
Address
1025 S 6th St, Springfield, IL 62703
Phone
(217) 528-7541
Fax
(217) 528-7541

Annual test volume the lab reported

Waived tests
250
Provider-performed microscopy tests
100
Total
350

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 Main Campus West - 4th Floor Dermatology in Springfield?

14D2264843, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Main Campus West - 4th Floor Dermatology hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 14D2264843 expire?

The CMS file lists July 19, 2028 as the certificate expiration date; the certificate took effect July 20, 2026.

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