CLIA lab
CLIA 14D1010978: Sanjay Pethkar MD SC
Plainfield, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1010978 belongs to Sanjay Pethkar MD SC in Plainfield, IL.
Certificate of Waiver, effective March 28, 2025, expires March 27, 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
- March 28, 2025
- Certificate expiration
- March 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2003
- 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
- 14D1010978
- Lab name
- Sanjay Pethkar MD SC
- Address
- 13415 S Route 59, Plainfield, IL 60585
- Phone
- (815) 212-3942
- Fax
- (815) 609-1328
Annual test volume the lab reported
- Waived tests
- 1,500
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 Sanjay Pethkar MD SC in Plainfield?
14D1010978, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sanjay Pethkar MD SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1010978 expire?
The CMS file lists March 27, 2027 as the certificate expiration date; the certificate took effect March 28, 2025.