CLIA lab
CLIA 14D2165100: Villas of Holly Brook - Pekin
Pekin, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2165100 belongs to Villas of Holly Brook - Pekin in Pekin, IL.
Certificate of Waiver, effective April 19, 2025, expires April 18, 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 19, 2025
- Certificate expiration
- April 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 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
- 14D2165100
- Lab name
- Villas of Holly Brook - Pekin
- Address
- 2720 S 14th St, Pekin, IL 61554
- Phone
- (309) 201-3763
- Fax
- (309) 201-3781
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 Pekin, IL
- Carle Health Pekin East on GriffinCertificate of Waiver, Physician office14D0431704
- Carle Health Pekin HospitalCertificate of Accreditation, Hospital14D0431708
- Charter Senior Living of PekinCertificate of Waiver, Assisted living facility14D2212141
- Ensight Mental Health & WellnessCertificate of Waiver, Physician office14D2341844
- Fci/Fpc Pekin Health ServicesCertificate of Waiver, Other14D0912146
- Heartland Health Services - Mobile Health UnitCertificate of Waiver, Federally qualified health center14D2325304
- Heartland Health Services - OltCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center14D2115339
- Heartland Health Services - Van De VerCertificate of Waiver, Federally qualified health center14D2157261
- Illinois Cancercare - PekinCertificate of Waiver, Physician office14D2147737
- Kroger Pharmacy J-923Certificate of Waiver, Pharmacy14D1076963
Related
Questions
What is the CLIA number for Villas of Holly Brook - Pekin in Pekin?
14D2165100, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook - Pekin hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2165100 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.