CLIA lab
CLIA 14D1034435: ST Marys Hospital - N Campus Lab
Bourbonnais, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1034435 belongs to ST Marys Hospital - N Campus Lab in Bourbonnais, IL.
Certificate of Accreditation, effective August 21, 2025, expires August 20, 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 Accreditation
- Certificate effective
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 2004
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- 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
- 14D1034435
- Lab name
- ST Marys Hospital - N Campus Lab
- Address
- 100 Provena Way, Suite L, Bourbonnais, IL 60914
- Phone
- (815) 937-2190
- Fax
- (815) 937-2194
Annual test volume the lab reported
- Tests under accreditation
- 67,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bourbonnais, IL
- 2HT Kidney Care, LTDCertificate of Waiver, Physician office14D2140425
- 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 ST Marys Hospital - N Campus Lab in Bourbonnais?
14D1034435, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Marys Hospital - N Campus Lab hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 14D1034435 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.