CLIA lab
CLIA 14D2195449: Victorian Inn
Homer Glen, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2195449 belongs to Victorian Inn in Homer Glen, IL.
Certificate of Waiver, effective October 8, 2024, expiration date October 7, 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 8, 2024
- Certificate expiration
- October 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2020
- 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
- 14D2195449
- Lab name
- Victorian Inn
- Address
- 12600 Renaissance Circle, Homer Glen, IL 60491
- Phone
- (708) 301-0800
- Fax
- (708) 654-2199
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Home Dialysis Services Homer Glen, L L CCertificate of Waiver, End stage renal disease dialysis facility14D2098018
- La Rabida Children's Hospital - C C D CCertificate of Waiver, Physician office14D2162087
- Loyola Center for Health at Homer GlenCertificate of Waiver, Physician office14D1046829
- Meijer Pharmacy #219Certificate of Waiver, Pharmacy14D2078291
- Orland Pharmacy IncCertificate of Waiver, Independent14D2256078
- Osco Drug #1303Certificate of Waiver, Pharmacy14D2036089
- Primary Health AssociatesCertificate of Waiver, Physician office14D0420155
- Providence HospiceCertificate of Waiver, Home health agency14D0987662
- Providence at Home (D/B/A)Certificate of Waiver, Home health agency14D0884774
- Silver Cross Health Center & Prof Office BldgCertificate of Accreditation, Other14D1068603
Related
Questions
What is the CLIA number for Victorian Inn in Homer Glen?
14D2195449, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Victorian Inn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2195449 expire?
The CMS file lists October 7, 2026 as the certificate expiration date; the certificate took effect October 8, 2024.