CLIA lab

CLIA 14D2317149: Ray Family Medicine

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

CLIA number 14D2317149 belongs to Ray Family Medicine in Bloomington, IL.

Certificate of Waiver, effective January 17, 2025, expires January 16, 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
January 17, 2025
Certificate expiration
January 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 17, 2025
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
14D2317149
Lab name
Ray Family Medicine
Additional name
Ray Medical Services PLLC
Address
2103 E Washington St - Bldg 1 - Ste D, Bloomington, IL 61701
Phone
(888) 331-3239
Fax
(888) 331-3239

Annual test volume the lab reported

Waived tests
150

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 Ray Family Medicine in Bloomington?

14D2317149, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ray Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2317149 expire?

The CMS file lists January 16, 2027 as the certificate expiration date; the certificate took effect January 17, 2025.

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