CLIA lab

CLIA 14D0669448: Provida Health Center SC

Gurnee, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D0669448 belongs to Provida Health Center SC in Gurnee, IL.

Certificate of Waiver, effective September 27, 2025, expires September 26, 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 27, 2025
Certificate expiration
September 26, 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

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D0669448
Lab name
Provida Health Center SC
Address
1425 Hunt Club Road Ste 100, Gurnee, IL 60031
Phone
(847) 548-2200
Fax
(847) 548-2865

Annual test volume the lab reported

Waived tests
240

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Provida Health Center SC in Gurnee?

14D0669448, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Provida Health Center SC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0669448 expire?

The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.

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