CLIA lab
CLIA 14D0725904: Andrew A Roth MD SC
Lombard, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0725904 belongs to Andrew A Roth MD SC in Lombard, IL.
Certificate for Provider-Performed Microscopy Procedures, effective May 10, 2026, expires May 9, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 10, 2026
- Certificate expiration
- May 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 1993
- 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
- 14D0725904
- Lab name
- Andrew A Roth MD SC
- Address
- 500 E 22nd St - Ste A, Lombard, IL 60148
- Phone
- (630) 932-2055
- Fax
- (630) 932-2059
Annual test volume the lab reported
- Waived tests
- 12,000
- Provider-performed microscopy tests
- 5,000
- Total
- 17,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lombard, IL
- Acacia Home Health AgencyCertificate of Waiver, Home health agency14D1046837
- Accentcare Home HealtCertificate of Waiver, Home health agency14D1059655
- Advancare Healthcare Services LLCCertificate of Waiver, Home health agency14D1037538
- Advocate Medical Group LombardCertificate for Provider-Performed Microscopy Procedures, Physician office14D2327934
- Beacon HillCertificate of Waiver, Skilled nursing or nursing facility14D0711098
- Bella Terra LombardCertificate of Waiver, Skilled nursing or nursing facility14D0857744
- Chicago Eye SurgeonsCertificate of Waiver, Physician office14D2219097
- Chicago Pain Institute SCCertificate of Waiver, Physician office14D2111829
- Classic Health Services IncCertificate of Waiver, Home health agency14D1047393
- Comprehensive Clinical ServicesCertificate of Waiver, Physician office14D2046144
Related
Questions
What is the CLIA number for Andrew A Roth MD SC in Lombard?
14D0725904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Andrew A Roth MD SC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0725904 expire?
The CMS file lists May 9, 2028 as the certificate expiration date; the certificate took effect May 10, 2026.