CLIA lab
CLIA 14D0875588: Plymouth Place Inc
La Grange Park, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0875588 belongs to Plymouth Place Inc in La Grange Park, IL.
Certificate of Waiver, effective August 25, 2025, expires August 24, 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 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 14D0875588
- Lab name
- Plymouth Place Inc
- Address
- 315 N La Grange Road, La Grange Park, IL 60526
- Phone
- (708) 482-6825
- Fax
- (708) 482-6709
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Plymouth PlaceCMS Care Compare ratings for the facility at the same street address
Other labs in La Grange Park, IL
- Brookfield SD 95Certificate of Waiver, School or student health service14D2233706
- Grove of La Grange Park Living & Rehab, theCertificate of Waiver, Skilled nursing or nursing facility14D1075614
- La Grange Park Center, IncCertificate of Waiver, Assisted living facility14D2201588
- One Way SafetyCertificate of Waiver, Independent14D2216251
- Osco Drug #2265Certificate of Waiver, Pharmacy14D1034270
Related
Questions
What is the CLIA number for Plymouth Place Inc in La Grange Park?
14D0875588, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Plymouth Place Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0875588 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.