CLIA lab

CLIA 14D1041670: Riverside Medical Plaza Imaging Center

Bourbonnais, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D1041670 belongs to Riverside Medical Plaza Imaging Center in Bourbonnais, IL.

Certificate of Waiver, effective May 15, 2026, expires May 14, 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 of Waiver
Certificate effective
May 15, 2026
Certificate expiration
May 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 9, 2005
Facility type
Other
Ownership (control type)
Private
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
14D1041670
Lab name
Riverside Medical Plaza Imaging Center
Address
300 Riverside Drive, Bourbonnais, IL 60914
Phone
(815) 802-7560
Fax
(815) 802-7265

Annual test volume the lab reported

Waived tests
1,000

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

Related

Questions

What is the CLIA number for Riverside Medical Plaza Imaging Center in Bourbonnais?

14D1041670, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Riverside Medical Plaza Imaging Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D1041670 expire?

The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.

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