CLIA lab

CLIA 14D2112454: Lake Forest Place

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

CLIA number 14D2112454 belongs to Lake Forest Place in Lake Forest, IL.

Certificate of Waiver, effective April 29, 2026, expires April 28, 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
April 29, 2026
Certificate expiration
April 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 29, 2016
Facility type
Skilled nursing or nursing facility
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
14D2112454
Lab name
Lake Forest Place
Address
1101 Pembridge Dr, Lake Forest, IL 60045
Phone
(847) 604-6701
Fax
(847) 604-6708

Annual test volume the lab reported

Waived tests
10,518

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lake Forest, IL

Related

Questions

What is the CLIA number for Lake Forest Place in Lake Forest?

14D2112454, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Forest Place hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2112454 expire?

The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.

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