CLIA lab
CLIA 14D0985761: Altagracia Medical Center
Chicago, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0985761 belongs to Altagracia Medical Center in Chicago, IL.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2001
- 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
- 14D0985761
- Lab name
- Altagracia Medical Center
- Address
- 3754 W Irving Park Rd, Chicago, IL 60618
- Phone
- (773) 509-1467
- Fax
- (773) 509-1695
Annual test volume the lab reported
- Waived tests
- 50
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 Altagracia Medical Center in Chicago?
14D0985761, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Altagracia Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0985761 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.