CLIA lab
CLIA 14D2133497: Crusader Community Hlth South Beloit JR HS
South Beloit, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2133497 belongs to Crusader Community Hlth South Beloit JR HS in South Beloit, IL.
Certificate of Waiver, effective July 13, 2025, expires July 12, 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
- July 13, 2025
- Certificate expiration
- July 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 13, 2017
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2133497
- Lab name
- Crusader Community Hlth South Beloit JR HS
- Address
- 840 Blackhawk Boulevard, South Beloit, IL 61080
- Phone
- (815) 490-1600
- Fax
- (815) 490-1881
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in South Beloit, IL
Related
Questions
What is the CLIA number for Crusader Community Hlth South Beloit JR HS in South Beloit?
14D2133497, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crusader Community Hlth South Beloit JR HS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2133497 expire?
The CMS file lists July 12, 2027 as the certificate expiration date; the certificate took effect July 13, 2025.