CLIA lab
CLIA 14D0938790: Prime Healthcare Il Medical Group, LLC Family Med
Manteno, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0938790 belongs to Prime Healthcare Il Medical Group, LLC Family Med in Manteno, IL.
Certificate of Waiver, effective December 8, 2024, expires December 7, 2026.
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
- December 8, 2024
- Certificate expiration
- December 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 1998
- Facility type
- Physician office
- 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
- 14D0938790
- Lab name
- Prime Healthcare Il Medical Group, LLC Family Med
- Address
- 501 S Locust St, Manteno, IL 60950
- Phone
- (815) 468-6737
- Fax
- (815) 468-7991
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manteno, IL
- Heritage Woods of MantenoCertificate of Waiver, Assisted living facility14D2200055
- Illinois Veterans Home at MantenoCertificate of Waiver, Skilled nursing or nursing facility14D1011391
- Manteno Community Fire Protection DistrictCertificate of Waiver, Other14D2236449
- Nexus Indian OaksCertificate of Waiver, Other14D2201944
- Riverside Community Health Center of MantenoCertificate of Waiver, Community clinic14D0863543
Related
Questions
What is the CLIA number for Prime Healthcare Il Medical Group, LLC Family Med in Manteno?
14D0938790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Healthcare Il Medical Group, LLC Family Med hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0938790 expire?
The CMS file lists December 7, 2026 as the certificate expiration date; the certificate took effect December 8, 2024.