CLIA lab
CLIA 14D2221330: Magnolia Terrace
Waterloo, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2221330 belongs to Magnolia Terrace in Waterloo, IL.
Certificate of Waiver, effective April 20, 2025, expires April 19, 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
- April 20, 2025
- Certificate expiration
- April 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 2021
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 14D2221330
- Lab name
- Magnolia Terrace
- Address
- 623 Hamacher, Waterloo, IL 62298
- Phone
- (618) 939-0500
- Fax
- (618) 939-4906
Annual test volume the lab reported
- Waived tests
- 1,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cedarhurst of Waterloo Operator, LLCCertificate of Waiver, Assisted living facility14D2152987
- Deaconess Illinois ClinicCertificate of Waiver, Physician office14D0434529
- Garden Place WaterlooCertificate of Waiver, Assisted living facility14D2213639
- Heart To Heart Pediatrics, L L CCertificate of Waiver, Physician office14D2171616
- Heartland Women's HealthcareCertificate for Provider-Performed Microscopy Procedures, Physician office14D2157264
- Human Support ServicesCertificate of Waiver, Other14D2091056
- Life Network of Southern IllinoisCertificate of Waiver, Other14D1039070
- Mercy Clinic Primary Care Waterloo Illinois Rte 3Certificate of Waiver, Physician office14D2323193
- Monroe County Health DepartmentCertificate of Waiver, Public health laboratory14D1101422
Related
Questions
What is the CLIA number for Magnolia Terrace in Waterloo?
14D2221330, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Terrace hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2221330 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.