CLIA lab
CLIA 14D0680339: Prairie Village Healthcare
Jacksonville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0680339 belongs to Prairie Village Healthcare in Jacksonville, IL.
Certificate of Waiver, effective August 21, 2026, expires August 20, 2028.
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 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 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
- 14D0680339
- Lab name
- Prairie Village Healthcare
- Address
- 1024 W Walnut St, Jacksonville, IL 62650
- Phone
- (217) 245-5175
- Fax
- (217) 271-1236
Annual test volume the lab reported
- Waived tests
- 30,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Illinois College Chesley Health & Wellness CenterCertificate of Waiver, School or student health service14D2199111
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- JMH Wound Clinic & HbotCertificate of Waiver, Ancillary test site14D1105140
Related
Questions
What is the CLIA number for Prairie Village Healthcare in Jacksonville?
14D0680339, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Village Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0680339 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.