CLIA lab

CLIA 14D2334780: MT Vernon Health & Wellness CTR

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

CLIA number 14D2334780 belongs to MT Vernon Health & Wellness CTR in Mount Vernon, IL.

Certificate of Waiver, effective December 2, 2025, expires December 1, 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
December 2, 2025
Certificate expiration
December 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 2, 2025
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D2334780
Lab name
MT Vernon Health & Wellness CTR
Address
4117 S Water Tower Place - Ste D, Mount Vernon, IL 62864
Phone
(618) 724-1677
Fax
(618) 724-9257

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.

Affiliated CLIA numbers

Other labs in Mount Vernon, IL

Related

Questions

What is the CLIA number for MT Vernon Health & Wellness CTR in Mount Vernon?

14D2334780, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does MT Vernon Health & Wellness CTR hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2334780 expire?

The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.

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