CLIA lab
CLIA 14D2160230: Avantara Evergreen Park
Evergreen Park, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2160230 belongs to Avantara Evergreen Park in Evergreen Park, IL.
Certificate of Waiver, effective January 7, 2025, expires January 6, 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
- January 7, 2025
- Certificate expiration
- January 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 7, 2019
- Facility type
- Skilled nursing or nursing facility
- 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
- 14D2160230
- Lab name
- Avantara Evergreen Park
- Address
- 10124 S Kedzie Ave, Evergreen Park, IL 60805
- Phone
- (708) 907-7000
- Fax
- (708) 907-7003
Annual test volume the lab reported
- Waived tests
- 75,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Evergreen Park, IL
- Advocate Medical Group - Evergreen PedsCertificate for Provider-Performed Microscopy Procedures, Physician office14D0997248
- Alzein Medical LTDCertificate of Waiver, Physician office14D0961021
- Associated Urological Specialists LLCertificate of Waiver, Physician office14D0418728
- Atrium Healthcare Services LLCCertificate of Waiver, Home health agency14D1050389
- Bielinski Dermatology Group, LLC/ Skin MDCertificate of Compliance, Physician office14D0683529
- Consultants in Cardiology & Electrophysiology LLCCertificate of Accreditation, Physician office14D2091639
- Diabetes Care, Endocrine & MetabolismCertificate of Waiver, Physician office14D0945981
- Dialysis Care Center Evergreen Park, LLCCertificate of Waiver, End stage renal disease dialysis facility14D2189904
- Evergreen Care Center LTDCertificate of Waiver, Physician office14D1018526
- F J Home Health CareCertificate of Waiver, Home health agency14D1008248
Related
Questions
What is the CLIA number for Avantara Evergreen Park in Evergreen Park?
14D2160230, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avantara Evergreen Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2160230 expire?
The CMS file lists January 6, 2027 as the certificate expiration date; the certificate took effect January 7, 2025.