CLIA lab
CLIA 14D2270655: Deaconess Illinois Specialty Clinic Express
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2270655 belongs to Deaconess Illinois Specialty Clinic Express in Mount Vernon, IL.
Certificate of Waiver, effective October 19, 2026, expires October 18, 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
- October 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2022
- 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
- 14D2270655
- Lab name
- Deaconess Illinois Specialty Clinic Express
- Address
- 3111 Broadway St, Mount Vernon, IL 62864
- Phone
- (618) 241-0300
- Fax
- (618) 242-0302
Annual test volume the lab reported
- Waived tests
- 1,000
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 Deaconess Illinois Specialty Clinic Express in Mount Vernon?
14D2270655, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Deaconess Illinois Specialty Clinic Express hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2270655 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.