CLIA lab
CLIA 14D2017028: The Medical Group of Kankakee Co Ill
Bradley, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2017028 belongs to The Medical Group of Kankakee Co Ill in Bradley, IL.
Certificate of Waiver, effective December 2, 2024, expires December 1, 2026.
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
- December 2, 2024
- Certificate expiration
- December 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 2010
- 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
- 14D2017028
- Lab name
- The Medical Group of Kankakee Co Ill
- Address
- 555 E N St Ste E, Bradley, IL 60915
- Phone
- (815) 929-0858
- Fax
- (815) 929-1545
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Physicians Immediate CareCertificate of Waiver, Other14D2098194
- Riverside Medical Group Ped Specialists BradleyCertificate of Waiver, Physician office14D0884117
- Riverside Workforce HealthCertificate for Provider-Performed Microscopy Procedures, Ancillary test site14D0429314
Related
Questions
What is the CLIA number for The Medical Group of Kankakee Co Ill in Bradley?
14D2017028, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does The Medical Group of Kankakee Co Ill hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2017028 expire?
The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.