CLIA lab
CLIA 14D1006590: Prime Healthcare Il Medical Group LLC Family Med
Bourbonnais, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1006590 belongs to Prime Healthcare Il Medical Group LLC Family Med in Bourbonnais, IL.
Certificate of Waiver, effective November 25, 2024, expires November 24, 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
- November 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 2002
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 14D1006590
- Lab name
- Prime Healthcare Il Medical Group LLC Family Med
- Address
- 656 N Convent, Ste B, Bourbonnais, IL 60914
- Phone
- (815) 936-5186
- Fax
- (815) 936-5190
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.
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- Abc Pediatrics of Kankakee CountyCertificate of Waiver, Physician office14D0429248
- Alliance Internal Medicine S CCertificate of Waiver, Physician office14D1100853
- Amita Health ST Mary's Hosp- Reg Cancer CTRCertificate of Waiver, Community clinic14D1036681
- Bickford House of BourbonnaisCertificate of Waiver, Assisted living facility14D1057777
- Bourbonnais Fire Protection DistrictCertificate of Waiver, Other14D2239372
- Center for Digestive HealthCertificate of Waiver, Ambulatory surgery center14D1022708
- Citadel of BourbonnaisCertificate of Waiver, Skilled nursing or nursing facility14D0957762
- Digestive Diseases ConsultantsCertificate of Accreditation, Physician office14D0898770
- Endocrine Solutions LLCCertificate of Waiver, Physician office14D2123564
Related
Questions
What is the CLIA number for Prime Healthcare Il Medical Group LLC Family Med in Bourbonnais?
14D1006590, 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 14D1006590 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.