CLIA lab
CLIA 14D0665170: Western Diversey Surgical Center
Chicago, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0665170 belongs to Western Diversey Surgical Center in Chicago, IL.
Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.
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
- November 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 5, 1994
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- 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
- 14D0665170
- Lab name
- Western Diversey Surgical Center
- Address
- 2744 N Western Ave, Chicago, IL 60647
- Phone
- (773) 772-7575
- Fax
- (773) 772-3696
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.
Affiliated CLIA numbers
Other labs in Chicago, IL
- 3p4care (Il) LLC AvondaleCertificate of Waiver, Physician office14D2109720
- 4every1 LaboratoryCertificate of Compliance, Community clinic14D2159532
- A & Family Medical CenterCertificate of Waiver, Physician office14D0996576
- A & M Medical Group PLLCCertificate of Waiver, Physician office14D2285390
- A C I D Research LabCertificate of Waiver, Other practitioner14D2147323
- A H M G Chicago ArcherCertificate of Waiver, Physician office14D0902090
- A H M G Heart & VascularCertificate of Waiver, Other14D1049600
- A I K Family Health P L L CCertificate of Waiver, Physician office14D2342371
- A K Mathew M DCertificate of Waiver, Physician office14D2232266
- A M G - Ravenswood Family PracticeCertificate for Provider-Performed Microscopy Procedures, Ancillary test site14D1005379
Related
Questions
What is the CLIA number for Western Diversey Surgical Center in Chicago?
14D0665170, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Western Diversey Surgical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0665170 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.