CLIA lab
CLIA 14D0884774: Providence at Home (D/B/A)
Homer Glen, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0884774 belongs to Providence at Home (D/B/A) in Homer Glen, IL.
Certificate of Waiver, effective April 11, 2026, expires April 10, 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
- April 11, 2026
- Certificate expiration
- April 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 1994
- Facility type
- Home health agency
- Ownership (control type)
- Other
- 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
- 14D0884774
- Lab name
- Providence at Home (D/B/A)
- Additional name
- Rest Haven Illiana Christian Convalescent Home Inc
- Address
- 14301 Independence Way, Homer Glen, IL 60491
- Phone
- (800) 509-2800
- Fax
- (708) 877-4818
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Homer Glen, IL
- Home Dialysis Services Homer Glen, L L CCertificate of Waiver, End stage renal disease dialysis facility14D2098018
- La Rabida Children's Hospital - C C D CCertificate of Waiver, Physician office14D2162087
- Loyola Center for Health at Homer GlenCertificate of Waiver, Physician office14D1046829
- Meijer Pharmacy #219Certificate of Waiver, Pharmacy14D2078291
- Orland Pharmacy IncCertificate of Waiver, Independent14D2256078
- Osco Drug #1303Certificate of Waiver, Pharmacy14D2036089
- Primary Health AssociatesCertificate of Waiver, Physician office14D0420155
- Providence HospiceCertificate of Waiver, Home health agency14D0987662
- Silver Cross Health Center & Prof Office BldgCertificate of Accreditation, Other14D1068603
- Suburban Wellness SCCertificate of Waiver, Physician office14D2099448
Related
Questions
What is the CLIA number for Providence at Home (D/B/A) in Homer Glen?
14D0884774, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence at Home (D/B/A) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0884774 expire?
The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.