CLIA lab
CLIA 14D2138631: Premise Health of Illinois Medical, SC
Lisle, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2138631 belongs to Premise Health of Illinois Medical, SC in Lisle, IL.
Certificate of Waiver, effective October 23, 2025, expires October 22, 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 of Waiver
- Certificate effective
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2017
- 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
- 14D2138631
- Lab name
- Premise Health of Illinois Medical, SC
- Address
- 4979 Indiana Ave - Ste 312, Lisle, IL 60532
- Phone
- (312) 337-4150
- Fax
- (312) 337-4311
Annual test volume the lab reported
- Waived tests
- 2,117
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brookdale Lisle Assisted LivingCertificate of Waiver, Assisted living facility14D2164724
- Brookdale Plaza - LisleCertificate of Waiver, Skilled nursing or nursing facility14D2045852
- Cornerstone Family Health SCCertificate of Waiver, Physician office14D1012377
- Du Page Medical Group - Lisle RadiologyCertificate of Waiver, Physician office14D2194946
- Duly Health & Care - Lisle Specialty SuiteCertificate of Waiver, Physician office14D2092912
- Duly Health and Care - Cec LisleCertificate of Waiver, Physician office14D2242939
- Duly Health and Care - Lisle LabCertificate of Compliance, Physician office14D2048955
Related
Questions
What is the CLIA number for Premise Health of Illinois Medical, SC in Lisle?
14D2138631, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Illinois Medical, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2138631 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.