CLIA lab

CLIA 14D1052566: P C C South Family Health Center

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

CLIA number 14D1052566 belongs to P C C South Family Health Center in Berwyn, IL.

Certificate for Provider-Performed Microscopy Procedures, effective January 8, 2025, expires January 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 for Provider-Performed Microscopy Procedures
Certificate effective
January 8, 2025
Certificate expiration
January 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 29, 2006
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D1052566
Lab name
P C C South Family Health Center
Address
6201 W Roosevelt Rd, Berwyn, IL 60402
Phone
(708) 386-0845
Fax
(708) 386-8472

Annual test volume the lab reported

Waived tests
17,472
Provider-performed microscopy tests
2,880
Total
20,352

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 P C C South Family Health Center in Berwyn?

14D1052566, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does P C C South Family Health Center hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 14D1052566 expire?

The CMS file lists January 7, 2027 as the certificate expiration date; the certificate took effect January 8, 2025.

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