CLIA lab

CLIA 14D1091024: Riverside Medical Center West Campus

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

CLIA number 14D1091024 belongs to Riverside Medical Center West Campus in Coal City, IL.

Certificate of Waiver, effective October 23, 2024, expiration date October 22, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 23, 2024
Certificate expiration
October 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 23, 2008
Facility type
Ancillary test site
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
14D1091024
Lab name
Riverside Medical Center West Campus
Address
5775 E State Route 113, Coal City, IL 60416
Phone
(815) 634-9800
Fax
(815) 941-6717

Annual test volume the lab reported

Waived tests
1,080

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

Affiliated CLIA numbers

Other labs in Coal City, IL

Related

Questions

What is the CLIA number for Riverside Medical Center West Campus in Coal City?

14D1091024, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Riverside Medical Center West Campus hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D1091024 expire?

The CMS file lists October 22, 2026 as the certificate expiration date; the certificate took effect October 23, 2024.

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