CLIA lab
CLIA 14D2195801: Grand Victorian of Sycamore
Sycamore, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2195801 belongs to Grand Victorian of Sycamore in Sycamore, IL.
Certificate of Waiver, effective October 13, 2024, expiration date October 12, 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 13, 2024
- Certificate expiration
- October 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 13, 2020
- Facility type
- Assisted living facility
- 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
- 14D2195801
- Lab name
- Grand Victorian of Sycamore
- Address
- 1440 Somonauk St, Sycamore, IL 60178
- Phone
- (815) 895-1900
- Fax
- (815) 895-1901
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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Related
Questions
What is the CLIA number for Grand Victorian of Sycamore in Sycamore?
14D2195801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Victorian of Sycamore hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2195801 expire?
The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.