CLIA lab
CLIA 14D2289109: Keystone Place at Magnolia Commons, LLC
Glen Carbon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2289109 belongs to Keystone Place at Magnolia Commons, LLC in Glen Carbon, IL.
Certificate of Waiver, effective September 6, 2025, expires September 5, 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 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2023
- 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
- 14D2289109
- Lab name
- Keystone Place at Magnolia Commons, LLC
- Address
- 245 Magnolia Dr, Glen Carbon, IL 62034
- Phone
- (618) 307-5516
- Fax
- (317) 863-1116
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 Glen Carbon, IL
- Allergy & Asthma Case LTDCertificate of Waiver, Physician office14D2017020
- Bard and Didriksen PediatricsCertificate of Waiver, Physician office14D0433433
- Dover Hospice Il STL Metro, LLCCertificate of Waiver, Hospice14D2308268
- Eden Retirement Center IncCertificate of Waiver, Skilled nursing or nursing facility14D0433458
- Evertrue Meridian VillageCertificate of Waiver, Skilled nursing or nursing facility14D1041239
- Gameday Men's Health Glen CarbonCertificate of Accreditation, Physician office14D2308377
- Maryville Women's CenterCertificate for Provider-Performed Microscopy Procedures, Physician office14D2143899
- Mclane Brian, LLCCertificate of Waiver, Home health agency14D2289910
- Meridian Village Assisted Living Memory CareCertificate of Waiver, Assisted living facility14D2198307
- Residential Home Health of Southern IllinoisCertificate of Waiver, Home health agency14D0964864
Related
Questions
What is the CLIA number for Keystone Place at Magnolia Commons, LLC in Glen Carbon?
14D2289109, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keystone Place at Magnolia Commons, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2289109 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.