CLIA lab
CLIA 14D1005379: A M G - Ravenswood Family Practice
Chicago, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1005379 belongs to A M G - Ravenswood Family Practice in Chicago, IL.
Certificate for Provider-Performed Microscopy Procedures, effective October 21, 2026, expires October 20, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2002
- Facility type
- Ancillary test site
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D1005379
- Lab name
- A M G - Ravenswood Family Practice
- Address
- 4600 North Ravenswood, Chicago, IL 60640
- Phone
- (773) 295-3101
- Fax
- (847) 390-5509
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Chicago, IL
- 3p4care (Il) LLC AvondaleCertificate of Waiver, Physician office14D2109720
- 4every1 LaboratoryCertificate of Compliance, Community clinic14D2159532
- A & Family Medical CenterCertificate of Waiver, Physician office14D0996576
- A & M Medical Group PLLCCertificate of Waiver, Physician office14D2285390
- A C I D Research LabCertificate of Waiver, Other practitioner14D2147323
- A H M G Chicago ArcherCertificate of Waiver, Physician office14D0902090
- A H M G Heart & VascularCertificate of Waiver, Other14D1049600
- A I K Family Health P L L CCertificate of Waiver, Physician office14D2342371
- A K Mathew M DCertificate of Waiver, Physician office14D2232266
- A M Jabr MD SCCertificate of Waiver, Physician office14D1045486
Related
Questions
What is the CLIA number for A M G - Ravenswood Family Practice in Chicago?
14D1005379, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does A M G - Ravenswood Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D1005379 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.