CLIA lab
CLIA 14D0412058: Pediatrust L L C
Crystal Lake, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0412058 belongs to Pediatrust L L C in Crystal Lake, IL.
Certificate of Waiver, effective August 10, 2025, expires August 9, 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
- August 10, 2025
- Certificate expiration
- August 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0412058
- Lab name
- Pediatrust L L C
- Address
- 525 Congress Parkway Ste 220, Crystal Lake, IL 60014
- Phone
- (815) 459-6780
- Fax
- (815) 459-1648
Annual test volume the lab reported
- Waived tests
- 1,457
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Crystal Lake, IL
- A-Tec AmbulanceCertificate of Waiver, Ambulance14D2208817
- Advanced Allergy & AsthmaCertificate of Waiver, Physician office14D2211229
- Advocate Children's Medical GroupCertificate of Waiver, Physician office14D0894797
- Advocate Medical Group - Crystal LakeCertificate for Provider-Performed Microscopy Procedures, Physician office14D1090378
- Advocate Medical Group Crystal Lake OncologyCertificate of Accreditation, Physician office14D1008797
- Akumin Health Illinois, LLCCertificate of Waiver, Other14D2227167
- Alexian Brothers Behavioral Health Crystal LakeCertificate of Waiver, Ancillary test site14D2145260
- Alternative & Complementary Therapies for WellnessCertificate of Waiver, Physician office14D2326115
- Bickford Senior LivingCertificate of Waiver, Assisted living facility14D2050861
- Brightstar of Barrington/Mchenry CoCertificate of Waiver, Other14D2096772
Related
Questions
What is the CLIA number for Pediatrust L L C in Crystal Lake?
14D0412058, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatrust L L C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0412058 expire?
The CMS file lists August 9, 2027 as the certificate expiration date; the certificate took effect August 10, 2025.