CLIA lab

CLIA 14D2270251: Prairie Dermatology

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

CLIA number 14D2270251 belongs to Prairie Dermatology in Bloomington, IL.

Certificate of Compliance, effective December 31, 2024, expires December 30, 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 Compliance
Certificate effective
December 31, 2024
Certificate expiration
December 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 12, 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
14D2270251
Lab name
Prairie Dermatology
Address
1015 S Mercer Ave - Ste GF7, Bloomington, IL 61701
Phone
(309) 660-8442
Fax
(309) 846-6155

Annual test volume the lab reported

Provider-performed microscopy tests
117
Other nonwaived tests
584
Total
701

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 Prairie Dermatology in Bloomington?

14D2270251, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prairie Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 14D2270251 expire?

The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.

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