CLIA lab
CLIA 14D2170594: J C H Medical Group - Jerseyville I I I
Jerseyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2170594 belongs to J C H Medical Group - Jerseyville I I I in Jerseyville, IL.
Certificate of Waiver, effective August 14, 2025, expires August 13, 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
- August 14, 2025
- Certificate expiration
- August 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2019
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2170594
- Lab name
- J C H Medical Group - Jerseyville I I I
- Address
- 220 E County Rd, Jerseyville, IL 62052
- Phone
- (618) 498-8467
- Fax
- (618) 639-2017
Annual test volume the lab reported
- Waived tests
- 1,260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jerseyville, IL
- J C H Medical Group - Jerseyville I VCertificate of Waiver, Physician office14D2177388
- JCH Medical GroupCertificate of Waiver, Physician office14D0433692
- JCH Medical GroupCertificate of Waiver, Rural health clinic14D2096942
- Jersey Community HospitalCertificate of Accreditation, Hospital14D0433690
- Jersey County Health DepartmentCertificate of Waiver, Other14D0433691
- Jerseyville DialysisCertificate of Waiver, End stage renal disease dialysis facility14D1021243
- Jerseyville ManorCertificate of Waiver, Skilled nursing or nursing facility14D0869007
- Survival Flight IncCertificate of Waiver, Ambulance14D2102796
- Villas of Holly Brook - JerseyvilleCertificate of Waiver, Assisted living facility14D2196488
- Walgreens #09824Certificate of Waiver, Pharmacy14D2037881
Related
Questions
What is the CLIA number for J C H Medical Group - Jerseyville I I I in Jerseyville?
14D2170594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does J C H Medical Group - Jerseyville I I I hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2170594 expire?
The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.