CLIA lab
CLIA 14D0887991: Shelbyville Manor
Shelbyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0887991 belongs to Shelbyville Manor in Shelbyville, IL.
Certificate of Waiver, effective June 22, 2026, expires June 21, 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
- June 22, 2026
- Certificate expiration
- June 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 1994
- 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
- 14D0887991
- Lab name
- Shelbyville Manor
- Address
- North Rt 128 PO Box 49, Shelbyville, IL 62565
- Phone
- (217) 774-2111
- Fax
- (217) 774-2209
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shelbyville, IL
- Family Life CenterCertificate of Waiver, Other14D2278332
- Hshs Good Shepherd Family HealthCertificate of Waiver, Rural health clinic14D0935455
- Hshs Good Shepherd Hospital LaboratoryCertificate of Registration, Hospital14D0435278
- Shelby County Health DeptCertificate of Waiver, Other14D0435277
- Shelbyville Community Medical CenterCertificate of Waiver, Physician office14D2021034
- Villas of Holly Brook ShelbyvilleCertificate of Waiver, Assisted living facility14D2211136
- Wal-Mart PharmacyCertificate of Waiver, Pharmacy14D2139576
Related
Questions
What is the CLIA number for Shelbyville Manor in Shelbyville?
14D0887991, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shelbyville Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0887991 expire?
The CMS file lists June 21, 2028 as the certificate expiration date; the certificate took effect June 22, 2026.