CLIA lab
CLIA 14D2164973: Villas of Holly Brook - Gibson City
Gibson City, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2164973 belongs to Villas of Holly Brook - Gibson City in Gibson City, IL.
Certificate of Waiver, effective April 17, 2025, expires April 16, 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
- April 17, 2025
- Certificate expiration
- April 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2019
- Facility type
- Assisted living facility
- 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
- 14D2164973
- Lab name
- Villas of Holly Brook - Gibson City
- Address
- 1400 N Melvin St, Gibson City, IL 60936
- Phone
- (217) 727-1082
- Fax
- (217) 727-1084
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gibson City, IL
- Family Health Care of Gibson CityCertificate for Provider-Performed Microscopy Procedures, Physician office14D2265639
- Gibson Area Ambulance ServiceCertificate of Waiver, Mobile lab14D0907699
- Gibson Area Hospital Geriatric Behavioral SvcsCertificate of Waiver, Physician office14D2045158
- Gibson Area Medical Clinic #8Certificate of Waiver, Physician office14D0891029
- Gibson Area Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office14D2112747
- Gibson City Clinic SCCertificate for Provider-Performed Microscopy Procedures, Rural health clinic14D0429411
- Gibson Community HospitalCertificate of Accreditation, Hospital14D0043973
- Gibson Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office14D2104974
- Gibson Recovery Optimizing WellnessCertificate for Provider-Performed Microscopy Procedures, Physician office14D1027353
- Goldwater Care Gibson CityCertificate of Waiver, Skilled nursing or nursing facility14D2288460
Related
Questions
What is the CLIA number for Villas of Holly Brook - Gibson City in Gibson City?
14D2164973, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook - Gibson City hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2164973 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.