CLIA lab

CLIA 14D2209775: Villas of Holly Brook Chatham

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

CLIA number 14D2209775 belongs to Villas of Holly Brook Chatham in Chatham, IL.

Certificate of Waiver, effective January 15, 2025, expires January 14, 2027.

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
January 15, 2025
Certificate expiration
January 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2021
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
14D2209775
Lab name
Villas of Holly Brook Chatham
Address
825 E Walnut, Chatham, IL 62629
Phone
(217) 483-4655
Fax
(217) 483-4662

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 Chatham, IL

Related

Questions

What is the CLIA number for Villas of Holly Brook Chatham in Chatham?

14D2209775, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Villas of Holly Brook Chatham hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2209775 expire?

The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.

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