CLIA lab
CLIA 14D2236307: Keystone Place at Richmond Creek, LLC
O Fallon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2236307 belongs to Keystone Place at Richmond Creek, LLC in O Fallon, IL.
Certificate of Waiver, effective September 16, 2025, expires September 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
- September 16, 2025
- Certificate expiration
- September 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 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
- 14D2236307
- Lab name
- Keystone Place at Richmond Creek, LLC
- Address
- 1050 Fountain Lakes Dr, O Fallon, IL 62269
- Phone
- (618) 825-9029
- Fax
- (618) 825-9059
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in O Fallon, IL
- Adoration Home Health of Illinois, LLCCertificate of Waiver, Home health agency14D1068034
- Alyve Medical PLLCCertificate of Waiver, Physician office14D2250504
- Apg Network LLCCertificate of Waiver, Physician office14D2348479
- Ardent Hospice & Palliative Care Southern Il IncCertificate of Waiver, Hospice14D2298692
- BJC Medical Group Cardiology ShilohCertificate of Waiver, Physician office14D2280224
- BJC Medical Group Family Medicine at O'FallonCertificate for Provider-Performed Microscopy Procedures, Physician office14D0964887
- Cambridge House of O'FallonCertificate of Waiver, Assisted living facility14D2197355
- Cancer Care Specialists of IllinoisCertificate of Accreditation, Physician office14D2179257
- Cedarhurst of O'FallonCertificate of Waiver, Assisted living facility14D2265424
- Christina H Dothager, M D, L L CCertificate for Provider-Performed Microscopy Procedures, Physician office14D2158694
Related
Questions
What is the CLIA number for Keystone Place at Richmond Creek, LLC in O Fallon?
14D2236307, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keystone Place at Richmond Creek, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2236307 expire?
The CMS file lists September 15, 2027 as the certificate expiration date; the certificate took effect September 16, 2025.