CLIA lab
CLIA 14D2196488: Villas of Holly Brook - Jerseyville
Jerseyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2196488 belongs to Villas of Holly Brook - Jerseyville in Jerseyville, 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)
- 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
- 14D2196488
- Lab name
- Villas of Holly Brook - Jerseyville
- Address
- 1318 State Hwy 109, Jerseyville, IL 62052
- Phone
- (618) 494-4500
- Fax
- (618) 494-6388
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.
Other labs in Jerseyville, IL
- J C H Medical Group - Jerseyville I I ICertificate of Waiver, Rural health clinic14D2170594
- J C H Medical Group - Jerseyville I VCertificate of Waiver, Physician office14D2177388
- JCH Medical GroupCertificate of Waiver, Physician office14D0433692
- JCH Medical GroupCertificate of Waiver, Rural health clinic14D2096942
- Jersey Community HospitalCertificate of Accreditation, Hospital14D0433690
- Jersey County Health DepartmentCertificate of Waiver, Other14D0433691
- Jerseyville DialysisCertificate of Waiver, End stage renal disease dialysis facility14D1021243
- Jerseyville ManorCertificate of Waiver, Skilled nursing or nursing facility14D0869007
- Survival Flight IncCertificate of Waiver, Ambulance14D2102796
- Walgreens #09824Certificate of Waiver, Pharmacy14D2037881
Related
Questions
What is the CLIA number for Villas of Holly Brook - Jerseyville in Jerseyville?
14D2196488, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook - Jerseyville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2196488 expire?
The CMS file lists October 15, 2026 as the certificate expiration date; the certificate took effect October 16, 2024.