CLIA lab
CLIA 14D2194605: Evergreen Place
Alton, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2194605 belongs to Evergreen Place in Alton, IL.
Certificate of Waiver, effective October 1, 2024, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 1, 2024
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2020
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 14D2194605
- Lab name
- Evergreen Place
- Address
- 100 Glenhaven Dr, Alton, IL 62002
- Phone
- (618) 462-1500
- Fax
- (618) 462-1511
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.
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- Alton Memorial HospitalCertificate of Accreditation, Hospital14D0044509
- Alton Memorial HospitalCertificate of Waiver, Other14D0900414
- Alton Memorial HospitalCertificate of Waiver, Hospital14D2106562
- Alton Memorial Hospital AmbulanceCertificate of Waiver, Ambulance14D1100272
- Alton Memorial Rehab & TherapyCertificate of Waiver, Skilled nursing or nursing facility14D0889853
- Alton MultispecialistsCertificate of Waiver, Physician office14D1005626
- Alton Multispecialists #2Certificate for Provider-Performed Microscopy Procedures, Physician office14D0884941
- Alton Ob/Gyn AssociatesCertificate of Waiver, Physician office14D2018130
- Alton Police DepartmentCertificate of Waiver, Other14D2251120
Related
Questions
What is the CLIA number for Evergreen Place in Alton?
14D2194605, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2194605 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect October 1, 2024.