CLIA lab
CLIA 14D2200055: Heritage Woods of Manteno
Manteno, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2200055 belongs to Heritage Woods of Manteno in Manteno, IL.
Certificate of Waiver, effective November 13, 2024, expires November 12, 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
- November 13, 2024
- Certificate expiration
- November 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 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
- 14D2200055
- Lab name
- Heritage Woods of Manteno
- Address
- 355 Diversatech Drive, Manteno, IL 60950
- Phone
- (815) 468-3553
- Fax
- (815) 468-3883
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 Manteno, IL
- Illinois Veterans Home at MantenoCertificate of Waiver, Skilled nursing or nursing facility14D1011391
- Manteno Community Fire Protection DistrictCertificate of Waiver, Other14D2236449
- Nexus Indian OaksCertificate of Waiver, Other14D2201944
- Prime Healthcare Il Medical Group, LLC Family MedCertificate of Waiver, Physician office14D0938790
- Riverside Community Health Center of MantenoCertificate of Waiver, Community clinic14D0863543
Related
Questions
What is the CLIA number for Heritage Woods of Manteno in Manteno?
14D2200055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heritage Woods of Manteno hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2200055 expire?
The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.