CLIA lab

CLIA 14D0721180: Heritage Manor - Staunton LLC

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

CLIA number 14D0721180 belongs to Heritage Manor - Staunton LLC in Staunton, IL.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 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
14D0721180
Lab name
Heritage Manor - Staunton LLC
Address
215 West Pennsylvania, Staunton, IL 62088
Phone
(618) 635-5577
Fax
(618) 635-5580

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Staunton, IL

Related

Questions

What is the CLIA number for Heritage Manor - Staunton LLC in Staunton?

14D0721180, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heritage Manor - Staunton LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0721180 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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