CLIA lab
CLIA 14D2164974: Villas of Holly Brook - Charleston
Charleston, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2164974 belongs to Villas of Holly Brook - Charleston in Charleston, 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
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
- 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
- 14D2164974
- Lab name
- Villas of Holly Brook - Charleston
- Address
- 738 18th St, Charleston, IL 61920
- Phone
- (217) 512-2773
- Fax
- (217) 512-2775
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 Charleston, IL
- Central East Alcoholism and Drug CouncilCertificate of Waiver, Other14D2030094
- Charleston Family Planning CenterCertificate for Provider-Performed Microscopy Procedures, Other practitioner14D2259383
- Charleston Rehab & Nursing LLCCertificate of Waiver, Skilled nursing or nursing facility14D0723340
- Coles County Health DepartmentCertificate of Waiver, Other14D0672768
- Crisis Pregnancy Center of Eastern IllinoisCertificate of Waiver, Other practitioner14D2009042
- Dermatology & Mohs Surgery InstituteCertificate of Compliance, Physician office14D2054064
- Heritage Woods of CharlestonCertificate of Waiver, Assisted living facility14D2196289
- Hilltop Skilled Nursing and Rehab CTR (D/B/A)Certificate of Waiver, Skilled nursing or nursing facility14D0433056
- Jerabek Wellness and Family HealthCertificate of Waiver, Physician office14D2241384
- Join Parachute - CharlestonCertificate of Accreditation, Other14D2293529
Related
Questions
What is the CLIA number for Villas of Holly Brook - Charleston in Charleston?
14D2164974, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook - Charleston hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2164974 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.