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CLIA 14D2273513: Stonebridge MT Vernon
Mount Vernon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2273513 belongs to Stonebridge MT Vernon in Mount Vernon, IL.
Certificate of Waiver, effective December 14, 2024, expires December 13, 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
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2022
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 14D2273513
- Lab name
- Stonebridge MT Vernon
- Address
- 1400 S 34th St, Mount Vernon, IL 62864
- Phone
- (618) 242-4050
- Fax
- (618) 204-5494
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.
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- Axiom Gardens of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321261
- Axiom Healthcare of Mount VernonCertificate of Waiver, Skilled nursing or nursing facility14D2321257
- Cheryl Emmons MD SCCertificate of Waiver, Physician office14D0979884
Related
Questions
What is the CLIA number for Stonebridge MT Vernon in Mount Vernon?
14D2273513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stonebridge MT Vernon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2273513 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.
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