CLIA lab
CLIA 14D2287978: Premise Health of Illinois Medical, SC
Utica, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2287978 belongs to Premise Health of Illinois Medical, SC in Utica, IL.
Certificate of Waiver, effective August 19, 2025, expires August 18, 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
- August 19, 2025
- Certificate expiration
- August 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2023
- 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
- 14D2287978
- Lab name
- Premise Health of Illinois Medical, SC
- Address
- 740 E US Hwy 6, Utica, IL 61373
- Phone
- (815) 310-5750
- Fax
- (815) 310-1051
Annual test volume the lab reported
- Waived tests
- 100
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 Premise Health of Illinois Medical, SC in Utica?
14D2287978, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Illinois Medical, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2287978 expire?
The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.