CLIA lab
CLIA 14D2122629: O'Fallon Dialysis
Shiloh, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2122629 belongs to O'Fallon Dialysis in Shiloh, IL.
Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.
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
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 2016
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- 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
- 14D2122629
- Lab name
- O'Fallon Dialysis
- Address
- 1941 Frank Scott Pkwy, Ste A, Shiloh, IL 62269
- Phone
- (618) 622-0592
- Fax
- (618) 622-0650
Annual test volume the lab reported
- Waived tests
- 3,744
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shiloh, IL
- Allergy, Asthma & Immunology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office14D2330100
- B J C M G Primary CareCertificate of Waiver, Physician office14D2042432
- B J C Primary Care Shiloh 250Certificate of Waiver, Physician office14D1044906
- BJC Medical Group Family Medicine at ShilohCertificate of Waiver, Physician office14D2155421
- BJC Medical Group Obstetrics/Gynecology at ShilohCertificate for Provider-Performed Microscopy Procedures, Physician office14D2112122
- Country Doctor Ltd,theCertificate of Waiver, Physician office14D1001167
- Family Medicine ShilohCertificate of Waiver, Physician office14D2083751
- Heartland Women's HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office14D2167936
- Heartland Women's Healthcare, LTDCertificate for Provider-Performed Microscopy Procedures, Community clinic14D2312734
- Memorial Hospital EastCertificate of Accreditation, Hospital14D2104688
Related
Questions
What is the CLIA number for O'Fallon Dialysis in Shiloh?
14D2122629, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does O'Fallon Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2122629 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.