CLIA lab
CLIA 14D2198208: Grand Prairie Suportive Living
Macomb, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2198208 belongs to Grand Prairie Suportive Living in Macomb, IL.
Certificate of Waiver, effective October 30, 2024, expires October 29, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
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 30, 2024
- Certificate expiration
- October 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 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
- 14D2198208
- Lab name
- Grand Prairie Suportive Living
- Address
- 1307 Meadowlark Lane, Macomb, IL 61455
- Phone
- (309) 833-5000
- Fax
- (309) 833-6410
Annual test volume the lab reported
- Waived tests
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Macomb, IL
- Air Evac LifeteamCertificate of Waiver, Mobile lab14D2129780
- Beu Health Center- Western Illinois UniversityCertificate of Waiver, School or student health service14D0716919
- Birthright of Macomb IncCertificate of Waiver, Other14D0667491
- Countryside Care Center LLCCertificate of Waiver, Skilled nursing or nursing facility14D0646794
- DR Eric Botts & AssociatesCertificate of Waiver, Physician office14D2014276
- Fresenius Medical Care MacombCertificate of Waiver, End stage renal disease dialysis facility14D1097214
- Gary L Sash DCCertificate of Waiver, Physician office14D0719114
- Graham Medical Group - MacombCertificate of Waiver, Community clinic14D2281376
- Graham Medical Group MacombCertificate of Waiver, Community clinic14D2347857
- Hy-Vee Pharmacy #1420Certificate of Waiver, Pharmacy14D1077750
Related
Questions
What is the CLIA number for Grand Prairie Suportive Living in Macomb?
14D2198208, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Prairie Suportive Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2198208 expire?
The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.