CLIA lab
CLIA 14D2109515: Quad Med - Kohls Ottawa Il
Ottawa, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2109515 belongs to Quad Med - Kohls Ottawa Il in Ottawa, IL.
Certificate of Waiver, effective February 26, 2026, expires February 25, 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
- February 26, 2026
- Certificate expiration
- February 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 2016
- 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
- 14D2109515
- Lab name
- Quad Med - Kohls Ottawa Il
- Address
- 4300 Mbl Dr, Ottawa, IL 61350
- Phone
- (317) 713-1881
- Fax
- (317) 791-6680
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Great Heights Medical L T DCertificate of Waiver, Physician office14D2156706
- Great Heights O T P, OttawaCertificate of Waiver, Comprehensive outpatient rehab facility14D2156618
- Heritage Woods of OttawaCertificate of Waiver, Assisted living facility14D2196444
- Illinois Urologic Health SurgeonsCertificate for Provider-Performed Microscopy Procedures, Physician office14D2056529
- Kroger Pharmacy #704Certificate of Waiver, Pharmacy14D2092711
- Lasalle County Health DepartmentCertificate of Waiver, Other14D0940145
- Lasalle County JailCertificate of Waiver, Prison14D2004252
Related
Questions
What is the CLIA number for Quad Med - Kohls Ottawa Il in Ottawa?
14D2109515, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Quad Med - Kohls Ottawa Il hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2109515 expire?
The CMS file lists February 25, 2028 as the certificate expiration date; the certificate took effect February 26, 2026.