CLIA lab
CLIA 14D2164992: Villas of Holly Brook - South Park
Chatham, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2164992 belongs to Villas of Holly Brook - South Park in Chatham, 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
- 14D2164992
- Lab name
- Villas of Holly Brook - South Park
- Address
- 10000 S Main St, Chatham, IL 62629
- Phone
- (217) 697-5415
- Fax
- (217) 697-5462
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 Chatham, IL
- Ball Chatham Dist/Glenwood Intermediate SchoolCertificate of Waiver, School or student health service14D2207134
- Hshs Med Group Family Health ChathamCertificate of Waiver, Physician office14D0435365
- Memorial Care ChathamCertificate of Waiver, Physician office14D2288530
- New Beginnings WellnessCertificate of Waiver, Other practitioner14D2349472
- Reflections Memory Care - ChathamCertificate of Waiver, Assisted living facility14D2164968
- SMH Lab - Chatham Urgent CareCertificate of Waiver, Other14D0949270
- Villas of Holly Brook ChathamCertificate of Waiver, Assisted living facility14D2209775
- Walgreens #09580Certificate of Waiver, Pharmacy14D1093837
Related
Questions
What is the CLIA number for Villas of Holly Brook - South Park in Chatham?
14D2164992, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook - South Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2164992 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.