CLIA lab
CLIA 14D0869007: Jerseyville Manor
Jerseyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0869007 belongs to Jerseyville Manor in Jerseyville, 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 18, 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
- 14D0869007
- Lab name
- Jerseyville Manor
- Address
- 1251 N State, Jerseyville, IL 62052
- Phone
- (618) 498-6441
- Fax
- (618) 498-9025
Other labs in Jerseyville, IL
- J C H Medical Group - Jerseyville I I ICertificate of Waiver, Rural health clinic14D2170594
- J C H Medical Group - Jerseyville I VCertificate of Waiver, Physician office14D2177388
- JCH Medical GroupCertificate of Waiver, Physician office14D0433692
- JCH Medical GroupCertificate of Waiver, Rural health clinic14D2096942
- Jersey Community HospitalCertificate of Accreditation, Hospital14D0433690
- Jersey County Health DepartmentCertificate of Waiver, Other14D0433691
- Jerseyville DialysisCertificate of Waiver, End stage renal disease dialysis facility14D1021243
- Survival Flight IncCertificate of Waiver, Ambulance14D2102796
- Villas of Holly Brook - JerseyvilleCertificate of Waiver, Assisted living facility14D2196488
- Walgreens #09824Certificate of Waiver, Pharmacy14D2037881
Related
Questions
What is the CLIA number for Jerseyville Manor in Jerseyville?
14D0869007, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jerseyville Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0869007 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.