CLIA lab
CLIA 14D2211136: Villas of Holly Brook Shelbyville
Shelbyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2211136 belongs to Villas of Holly Brook Shelbyville in Shelbyville, IL.
Certificate of Waiver, effective January 26, 2025, expires January 25, 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 26, 2025
- Certificate expiration
- January 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 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
- 14D2211136
- Lab name
- Villas of Holly Brook Shelbyville
- Address
- 2201 W Main St, Shelbyville, IL 62565
- Phone
- (217) 774-1040
- Fax
- (217) 774-1044
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 Shelbyville, IL
- Family Life CenterCertificate of Waiver, Other14D2278332
- Hshs Good Shepherd Family HealthCertificate of Waiver, Rural health clinic14D0935455
- Hshs Good Shepherd Hospital LaboratoryCertificate of Registration, Hospital14D0435278
- Shelby County Health DeptCertificate of Waiver, Other14D0435277
- Shelbyville Community Medical CenterCertificate of Waiver, Physician office14D2021034
- Shelbyville ManorCertificate of Waiver, Skilled nursing or nursing facility14D0887991
- Wal-Mart PharmacyCertificate of Waiver, Pharmacy14D2139576
Related
Questions
What is the CLIA number for Villas of Holly Brook Shelbyville in Shelbyville?
14D2211136, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook Shelbyville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2211136 expire?
The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.