CLIA lab
CLIA 14D0725286: Pavilion on Main
Sandwich, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0725286 belongs to Pavilion on Main in Sandwich, IL.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 1994
- Facility type
- Skilled nursing or nursing 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
- 14D0725286
- Lab name
- Pavilion on Main
- Address
- 515 N Main, Sandwich, IL 60548
- Phone
- (815) 786-8426
- Fax
- (815) 786-1621
Annual test volume the lab reported
- Waived tests
- 30,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pavilion on Main Street, theCMS Care Compare ratings for the facility at the same street address
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- Valley West Community HospitalCertificate of Accreditation, Hospital14D0043132
Related
Questions
What is the CLIA number for Pavilion on Main in Sandwich?
14D0725286, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavilion on Main hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0725286 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.