CLIA lab

CLIA 14D2196484: Evergreen Senior Living

Chillicothe, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2196484 belongs to Evergreen Senior Living in Chillicothe, IL.

Certificate of Waiver, effective October 16, 2024, expiration date October 15, 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 16, 2024
Certificate expiration
October 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 16, 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
14D2196484
Lab name
Evergreen Senior Living
Address
404 S Stillwater Dr, Chillicothe, IL 61523
Phone
(309) 274-5440
Fax
(309) 274-4865

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 Senior Living in Chillicothe?

14D2196484, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Senior Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2196484 expire?

The CMS file lists October 15, 2026 as the certificate expiration date; the certificate took effect October 16, 2024.

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