CLIA lab
CLIA 14D1094074: Riverside Medical Center West Campus
Coal City, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1094074 belongs to Riverside Medical Center West Campus in Coal City, IL.
Certificate of Waiver, effective January 9, 2025, expires January 8, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 9, 2025
- Certificate expiration
- January 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 14D1094074
- Lab name
- Riverside Medical Center West Campus
- Address
- 5775 E State Route 113, Coal City, IL 60416
- Phone
- (815) 634-0100
- Fax
- (815) 941-2900
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Coal City, IL
- Candlelight Home Healthcare LLCCertificate of Waiver, Home health agency14D2097720
- Family Physicians of Coal CityCertificate of Waiver, Physician office14D0892807
- Riverside Healthcare Coal City CampusCertificate of Accreditation, Other14D2315049
- Riverside Medical Center West CampusCertificate of Waiver, Ancillary test site14D1091024
Related
Questions
What is the CLIA number for Riverside Medical Center West Campus in Coal City?
14D1094074, 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 14D1094074 expire?
The CMS file lists January 8, 2027 as the certificate expiration date; the certificate took effect January 9, 2025.