CLIA lab

CLIA 14D0997375: Asian Village Medical Clinic PC

Chicago, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D0997375 belongs to Asian Village Medical Clinic PC in Chicago, IL.

Certificate of Waiver, effective March 13, 2026, expires March 12, 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 of Waiver
Certificate effective
March 13, 2026
Certificate expiration
March 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 13, 2002
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
14D0997375
Lab name
Asian Village Medical Clinic PC
Address
5129 North Broadway Suite E, Chicago, IL 60640
Phone
(773) 275-4250
Fax
(773) 275-4263

Annual test volume the lab reported

Waived tests
500

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 Asian Village Medical Clinic PC in Chicago?

14D0997375, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Asian Village Medical Clinic PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0997375 expire?

The CMS file lists March 12, 2028 as the certificate expiration date; the certificate took effect March 13, 2026.

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