CLIA lab

CLIA 14D2209806: Villas of Holly Brook Herrin

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

CLIA number 14D2209806 belongs to Villas of Holly Brook Herrin in Carterville, IL.

Certificate of Waiver, effective January 16, 2025, expires January 15, 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 16, 2025
Certificate expiration
January 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 16, 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
14D2209806
Lab name
Villas of Holly Brook Herrin
Address
505 Rushing Dr, Carterville, IL 62918
Phone
(618) 993-1997
Fax
(618) 993-1995

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 Carterville, IL

Related

Questions

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

14D2209806, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Villas of Holly Brook Herrin hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2209806 expire?

The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.

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