CLIA lab

CLIA 14D0889494: Heritage Square

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

CLIA number 14D0889494 belongs to Heritage Square in Dixon, IL.

Certificate of Waiver, effective July 29, 2026, expires July 28, 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
July 29, 2026
Certificate expiration
July 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 29, 1994
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
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
14D0889494
Lab name
Heritage Square
Address
620 North Ottawa Avenue, Dixon, IL 61021
Phone
(815) 288-2251
Fax
(815) 288-6821

Annual test volume the lab reported

Waived tests
2,555

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

Care facility at this address

  • Heritage SquareCMS Care Compare ratings for the facility at the same street address

Other labs in Dixon, IL

Related

Questions

What is the CLIA number for Heritage Square in Dixon?

14D0889494, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heritage Square hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0889494 expire?

The CMS file lists July 28, 2028 as the certificate expiration date; the certificate took effect July 29, 2026.

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