CLIA lab

CLIA 14D2124657: Chestnut Family Health Center 702

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

CLIA number 14D2124657 belongs to Chestnut Family Health Center 702 in Bloomington, IL.

Certificate of Waiver, effective January 23, 2025, expires January 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
January 23, 2025
Certificate expiration
January 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 23, 2017
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
14D2124657
Lab name
Chestnut Family Health Center 702
Address
702 W Chestnut St, Bloomington, IL 61701
Phone
(309) 557-1400
Fax
(309) 557-1461

Annual test volume the lab reported

Waived tests
1,500

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 Health Center 702 in Bloomington?

14D2124657, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Chestnut Family Health Center 702 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2124657 expire?

The CMS file lists January 22, 2027 as the certificate expiration date; the certificate took effect January 23, 2025.

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