CLIA lab
CLIA 14D1021243: Jerseyville Dialysis
Jerseyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1021243 belongs to Jerseyville Dialysis in Jerseyville, IL.
Certificate of Waiver, effective January 16, 2026, expires January 15, 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
- January 16, 2026
- Certificate expiration
- January 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 16, 2004
- Facility type
- End stage renal disease dialysis 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
- 14D1021243
- Lab name
- Jerseyville Dialysis
- Additional name
- Total Renal Care Inc
- Address
- 917 S State St, Jerseyville, IL 62052
- Phone
- (618) 498-9532
- Fax
- (618) 498-1012
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 ManorCertificate of Waiver, Skilled nursing or nursing facility14D0869007
- 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 Dialysis in Jerseyville?
14D1021243, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jerseyville Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1021243 expire?
The CMS file lists January 15, 2028 as the certificate expiration date; the certificate took effect January 16, 2026.