CLIA lab
CLIA 14D0646794: Countryside Care Center LLC
Macomb, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0646794 belongs to Countryside Care Center LLC in Macomb, IL.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 14D0646794
- Lab name
- Countryside Care Center LLC
- Address
- 400 W Grant St, Macomb, IL 61455
- Phone
- (845) 414-3300
- Fax
- (845) 517-4796
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Countryside Care CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Macomb, IL
- Air Evac LifeteamCertificate of Waiver, Mobile lab14D2129780
- Beu Health Center- Western Illinois UniversityCertificate of Waiver, School or student health service14D0716919
- Birthright of Macomb IncCertificate of Waiver, Other14D0667491
- DR Eric Botts & AssociatesCertificate of Waiver, Physician office14D2014276
- Fresenius Medical Care MacombCertificate of Waiver, End stage renal disease dialysis facility14D1097214
- Gary L Sash DCCertificate of Waiver, Physician office14D0719114
- Graham Medical Group - MacombCertificate of Waiver, Community clinic14D2281376
- Graham Medical Group MacombCertificate of Waiver, Community clinic14D2347857
- Grand Prairie Suportive LivingCertificate of Waiver, Assisted living facility14D2198208
- Hy-Vee Pharmacy #1420Certificate of Waiver, Pharmacy14D1077750
Related
Questions
What is the CLIA number for Countryside Care Center LLC in Macomb?
14D0646794, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Countryside Care Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0646794 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.