CLIA lab
CLIA 14D0879690: DR Thomas Pavlovic MD
Park Ridge, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0879690 belongs to DR Thomas Pavlovic MD in Park Ridge, IL.
Certificate of Waiver, effective April 18, 2025, expires April 17, 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
- April 18, 2025
- Certificate expiration
- April 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 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
- 14D0879690
- Lab name
- DR Thomas Pavlovic MD
- Address
- 1875 Dempster Suite 601, Park Ridge, IL 60068
- Phone
- (708) 696-1200
Annual test volume the lab reported
- Waived tests
- 100
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 DR Thomas Pavlovic MD in Park Ridge?
14D0879690, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Thomas Pavlovic MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0879690 expire?
The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.