CLIA lab
CLIA 14D2102459: Chestnut Family Hlth CTR Granite City
Bloomington, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2102459 belongs to Chestnut Family Hlth CTR Granite City in Bloomington, IL.
Certificate of Waiver, effective September 23, 2025, expires September 22, 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2015
- Facility type
- Federally qualified health center
- 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
- 14D2102459
- Lab name
- Chestnut Family Hlth CTR Granite City
- Address
- 1003 Martin Luther King Dr, Bloomington, IL 61701
- Phone
- (618) 512-1919
- Fax
- (618) 512-1920
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Chestnut Family Hlth CTR Granite City in Bloomington?
14D2102459, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chestnut Family Hlth CTR Granite City hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2102459 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.