CLIA lab
CLIA 14D2194722: Evergreen Village
Normal, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2194722 belongs to Evergreen Village in Normal, IL.
Certificate of Waiver, effective October 2, 2024, expiration date October 1, 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 2, 2024
- Certificate expiration
- October 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 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
- 14D2194722
- Lab name
- Evergreen Village
- Address
- 1701 Evergreen Village Blvd, Normal, IL 61761
- Phone
- (309) 452-7300
- Fax
- (309) 452-7311
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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Related
Questions
What is the CLIA number for Evergreen Village in Normal?
14D2194722, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2194722 expire?
The CMS file lists October 1, 2026 as the certificate expiration date; the certificate took effect October 2, 2024.