CLIA lab
CLIA 14D1036681: Amita Health ST Mary's Hosp- Reg Cancer CTR
Bourbonnais, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D1036681 belongs to Amita Health ST Mary's Hosp- Reg Cancer CTR in Bourbonnais, IL.
Certificate of Waiver, effective February 8, 2025, expires February 7, 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
- February 8, 2025
- Certificate expiration
- February 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 2005
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 14D1036681
- Lab name
- Amita Health ST Mary's Hosp- Reg Cancer CTR
- Address
- 100 Provena Way- Suite 103, Bourbonnais, IL 60914
- Phone
- (815) 937-8780
- Fax
- (815) 937-8241
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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
- 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
- Fais Reference LabsCertificate of Accreditation, Independent14D2313462
Related
Questions
What is the CLIA number for Amita Health ST Mary's Hosp- Reg Cancer CTR in Bourbonnais?
14D1036681, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amita Health ST Mary's Hosp- Reg Cancer CTR hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D1036681 expire?
The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.