CLIA lab

CLIA 14D1040552: R C G Central Illinois Peoria North

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

CLIA number 14D1040552 belongs to R C G Central Illinois Peoria North in Peoria, IL.

Certificate of Waiver, effective May 11, 2025, expires May 10, 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
May 11, 2025
Certificate expiration
May 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 11, 2005
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D1040552
Lab name
R C G Central Illinois Peoria North
Address
10405 N Juliet Court, Peoria, IL 61615
Phone
(309) 243-2200
Fax
(309) 243-2240

Annual test volume the lab reported

Waived tests
250

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

Care facility at this address

Affiliated CLIA numbers

Other labs in Peoria, IL

Related

Questions

What is the CLIA number for R C G Central Illinois Peoria North in Peoria?

14D1040552, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does R C G Central Illinois Peoria North hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D1040552 expire?

The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.

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