CLIA lab
CLIA 14D0964864: Residential Home Health of Southern Illinois
Glen Carbon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0964864 belongs to Residential Home Health of Southern Illinois in Glen Carbon, IL.
Certificate of Waiver, effective September 7, 2025, expires September 6, 2027.
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 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 1999
- Facility type
- Home health agency
- 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
- 14D0964864
- Lab name
- Residential Home Health of Southern Illinois
- Address
- 4215 S State Route 159, Glen Carbon, IL 62034
- Phone
- (800) 358-8227
- Fax
- (866) 903-4000
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Residential Home Health of Southern IllinoisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Residential Home Health of Southern Illinois in Glen Carbon?
14D0964864, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Residential Home Health of Southern Illinois hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0964864 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.