CLIA lab
CLIA 14D1076564: Residential Hospice of Southern Illinois, L L C
Glen Carbon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1076564 belongs to Residential Hospice of Southern Illinois, L L C in Glen Carbon, IL.
Certificate of Waiver, effective November 16, 2025, expires November 15, 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
- November 16, 2025
- Certificate expiration
- November 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2007
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1076564
- Lab name
- Residential Hospice of Southern Illinois, L L C
- 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
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Eden Retirement Center IncCertificate of Waiver, Skilled nursing or nursing facility14D0433458
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- Gameday Men's Health Glen CarbonCertificate of Accreditation, Physician office14D2308377
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- Mclane Brian, LLCCertificate of Waiver, Home health agency14D2289910
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Related
Questions
What is the CLIA number for Residential Hospice of Southern Illinois, L L C in Glen Carbon?
14D1076564, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Residential Hospice of Southern Illinois, L L C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1076564 expire?
The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.